| Entity Name: | WEST SUNRISE PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Jan 1995 (30 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P95000007260 |
| FEI/EIN Number | 65-0548252 |
| Address: | 5975 W SUNRISE BLVD, SUITE 104, SUNRISE, FL 33313 |
| Mail Address: | 5975 W SUNRISE BLVD, SUITE 104, SUNRISE, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972541019 | 2006-06-02 | 2020-08-22 | 5975 W SUNRISE BLVD, SUITE 104, PLANTATION, FL, 333136800, US | 5975 W SUNRISE BLVD, SUITE 104, PLANTATION, FL, 333136800, US | |||||||||||||||||||
|
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| Phone | +1 954-581-4776 |
| Fax | 9545814777 |
Authorized person
| Name | MR. BRADLEY MESTER |
| Role | PRESIDENT |
| Phone | 9545814776 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | HCC5365 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MESTER, BRADLEY | Agent | 5975 W SUNRISE BLVD, SUITE 104, SUNRISE, FL 33313 |
| Name | Role | Address |
|---|---|---|
| MESTER, BRADLEY | President | 5975 W SUNRISE BLVD, SUITE 104, SUNRISE, FL 33313 |
| Name | Role | Address |
|---|---|---|
| MESTER, DALE | Director | 5975W. SUNRISE BLVD. STE. #104, FORT LAUDERDALE, FL 33313 |
| Name | Role | Address |
|---|---|---|
| MESTER, DALE | Vice President | 5975W. SUNRISE BLVD. STE. #104, FORT LAUDERDALE, FL 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2001-04-25 | MESTER, BRADLEY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-20 |
| ANNUAL REPORT | 2003-04-28 |
| ANNUAL REPORT | 2002-04-22 |
| ANNUAL REPORT | 2001-04-25 |
| ANNUAL REPORT | 2000-03-07 |
| ANNUAL REPORT | 1999-06-08 |
| ANNUAL REPORT | 1998-05-18 |
| ANNUAL REPORT | 1997-01-17 |
| ANNUAL REPORT | 1996-05-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
