| Entity Name: | FRAY & STAFFORD PHYSICAL THERAPY, CO |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Sep 2021 (3 years ago) |
| Document Number: | P21000081042 |
| FEI/EIN Number | 87-2638352 |
| Mail Address: | 2625 Barna Ave, TITUSVILLE, FL, 32780, US |
| Address: | 2625 Barna Ave Unit D, TITUSVILLE, FL, 32780, US |
| ZIP code: | 32780 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265103154 | 2021-09-21 | 2021-09-21 | 2285 MARYLAND AVE, TITUSVILLE, FL, 327962005, US | 2285 MARYLAND AVE, TITUSVILLE, FL, 327962005, US | |||||||||||||
|
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| Phone | +1 321-458-1255 |
Authorized person
| Name | NATHAN STAFFORD |
| Role | CEO |
| Phone | 3214581255 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STAFFORD NATHAN | Agent | 2285 MARYLAND AVE, TITUSVILLE, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| STAFFORD NATHAN | Chief Executive Officer | 2285 MARYLAND AVE, TITUSVILLE, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| FRAY ROBERT | Chief Operating Officer | 2947 EMBASSY COURT, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-31 | 2625 Barna Ave Unit D, TITUSVILLE, FL 32780 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-29 | 2625 Barna Ave Unit D, TITUSVILLE, FL 32780 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-04-06 |
| Domestic Profit | 2021-09-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
