| Entity Name: | SCIFORM PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Mar 2021 (4 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 10 Apr 2023 (2 years ago) |
| Document Number: | P21000030164 |
| FEI/EIN Number | 86-3060425 |
| Address: | 232 Chestnut St, Clermont, FL 34711 |
| Mail Address: | 232 Chestnut St, Clermont, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003564519 | 2022-03-14 | 2023-07-24 | 232 CHESTNUT STREET, CLERMONT, FL, 347113020, US | 232 CHESTNUT ST, CLERMONT, FL, 347113020, US | |||||||||||||||
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| Phone | +1 352-404-7336 |
| Fax | 3525590421 |
Authorized person
| Name | SAILENDRA JITENDRAKUMAR PATEL |
| Role | AUTHORIZED OFFICIAL |
| Phone | 5240473363 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL, SAILENDRA J | Agent | 1668 Lake Rhea Drive, Windermere, FL 34786 |
| Name | Role | Address |
|---|---|---|
| PATEL, SAILENDRA J | President | 1668 Lake Rhea Drive, Windermere, FL 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-17 | 1668 Lake Rhea Drive, Windermere, FL 34786 | No data |
| NAME CHANGE AMENDMENT | 2023-04-10 | SCIFORM PHYSICAL THERAPY, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-28 | 232 Chestnut St, Clermont, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-28 | 232 Chestnut St, Clermont, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| Name Change | 2023-04-10 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-10 |
| Domestic Profit | 2021-03-26 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
