| Entity Name: | VENICE PHYSICAL THERAPY AND SPORTS MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Oct 2016 (8 years ago) |
| Document Number: | P16000085578 |
| FEI/EIN Number | 81-4215671 |
| Address: | 201 Center Rd STE 200, VENICE, FL 34285 |
| Mail Address: | 874 HILLCREST DR, NOKOMIS, FL 34275 |
| ZIP code: | 34285 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891393138 | 2020-10-09 | 2021-01-14 | 1776 S TAMIAMI TRL, VENICE, FL, 342931602, US | 1776 S TAMIAMI TRL, VENICE, FL, 342931602, US | |||||||||||||||
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| Phone | +1 941-408-7476 |
| Fax | 9414087483 |
Authorized person
| Name | RICHARD HAUPT |
| Role | PRESIDENT |
| Phone | 9419551239 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAUPT, RICHARD H | Agent | 874 HILLCREST DR, NOKOMIS, FL 34275 |
| Name | Role | Address |
|---|---|---|
| HAUPT, RICHARD H | President | 874 HILLCREST DR, NOKOMIS, FL 34275 |
| Name | Role | Address |
|---|---|---|
| HAUPT, CHASIE L | Vice President | 874 HILLCREST DR, NOKOMIS, FL 34275 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, GEORGE J, III | Clinic Director | 7515 AGUILAR DR, SARASOTA, FL 34240 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-27 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-02-15 |
| Domestic Profit | 2016-10-21 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
