| Entity Name: | PERFORMANCE PHYSICAL MEDICINE AND REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Aug 2015 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P15000068197 |
| FEI/EIN Number | 47-4821617 |
| Address: | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 |
| Mail Address: | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720456254 | 2015-09-15 | 2015-09-15 | 333 5TH AVE N, JACKSONVILLE BEACH, FL, 322505611, US | 333 5TH AVE N, JACKSONVILLE BEACH, FL, 322505611, US | |||||||||||||||
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| Phone | +1 904-241-7907 |
| Fax | 9042411401 |
Authorized person
| Name | DR. CASEY G MORRIS |
| Role | OWNER/ CHIROPRACTOR |
| Phone | 9042417907 |
Taxonomy
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEYER, ALBERT R | Agent | 55 S.E. 2ND AVE, 1ST FLOOR, DELRAY BEACH, FL 33444 |
| Name | Role | Address |
|---|---|---|
| MORRIS, CASEY | President | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 |
| Name | Role | Address |
|---|---|---|
| MORRIS, CASEY | Treasurer | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000089570 | PERFORMANCE PHYSICAL MEDICINE | EXPIRED | 2015-08-30 | 2020-12-31 | No data | 333 5TH AVE N, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-05-01 | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2025-05-01 | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 333 5TH AVENUE N., JACKSONVILLE BEACH, FL 32250 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-28 |
| Domestic Profit | 2015-08-12 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
