| Entity Name: | RENEW PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Oct 2015 (9 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P15000088129 |
| Address: | 325 5TH AVENUE, SUITE103, INDIALANTIC, FL, 32903 |
| Mail Address: | PO BOX 33099, INDIALANTIC, FL, 32903 |
| ZIP code: | 32903 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184097388 | 2015-11-10 | 2016-01-14 | PO BOX 33099, INDIALANTIC, FL, 329030099, US | 325 5TH AVE, SUITE 103, INDIALANTIC, FL, 329034273, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 321-956-0485 |
| Phone | +1 321-537-2657 |
Authorized person
| Name | TERRI JOHNSON |
| Role | AGENT |
| Phone | 3215379311 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RYLAND TRACY L | Agent | 325 5TH AVENUE, INDIALANTIC, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| RYLAND TRACY L | President | 325 5TH AVENUE, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-05-01 | 325 5TH AVENUE, SUITE103, INDIALANTIC, FL 32903 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 325 5TH AVENUE, SUITE103, INDIALANTIC, FL 32903 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-10-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
