Entity Name: | BURKE COLLINS THERAPY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 11 Jun 1996 (29 years ago) |
Document Number: | P96000050378 |
FEI/EIN Number | 593396831 |
Address: | 4401 W. Kennedy Blvd, TAMPA, FL, 33609, US |
Mail Address: | P.O. BOX 3147, TAMPA, FL, 33601-3147, US |
ZIP code: | 33609 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093214736 | 2018-02-08 | 2018-02-08 | PO BOX 3147, TAMPA, FL, 336013147, US | 11809 N DALE MABRY HWY, TAMPA, FL, 336183505, US | |||||||||||||||
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Phone | +1 813-253-3092 |
Fax | 8132599516 |
Authorized person
Name | CARLETON BURKE COLLINS |
Role | CLINIC DIRECTOR |
Phone | 8132533092 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BACK TO WORK PHYSICAL THERAPY | Agent | 4401 W. Kennedy Blvd, TAMPA, FL, 33609 |
Name | Role | Address |
---|---|---|
COLLINS CARLETON B | President | PO BOX 3147, TAMPA, FL, 33601 |
Name | Role | Address |
---|---|---|
COLLINS CARLETON B | Director | PO BOX 3147, TAMPA, FL, 33601 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G02141900526 | BACK TO WORK PHYSICAL THERAPY | ACTIVE | 2002-05-21 | 2027-12-31 | No data | P.O. BOX 3147, TAMPA, FL, 33601-3147 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-02-06 | 4401 W. Kennedy Blvd, Suite 100, TAMPA, FL 33609 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 4401 W. Kennedy Blvd, Suite 100, TAMPA, FL 33609 | No data |
REGISTERED AGENT NAME CHANGED | 2007-02-25 | BACK TO WORK PHYSICAL THERAPY | No data |
CHANGE OF MAILING ADDRESS | 2003-01-13 | 4401 W. Kennedy Blvd, Suite 100, TAMPA, FL 33609 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-10 |
ANNUAL REPORT | 2023-02-06 |
ANNUAL REPORT | 2022-01-19 |
ANNUAL REPORT | 2021-01-22 |
ANNUAL REPORT | 2020-02-20 |
ANNUAL REPORT | 2019-03-17 |
ANNUAL REPORT | 2018-03-27 |
ANNUAL REPORT | 2017-01-22 |
ANNUAL REPORT | 2016-03-27 |
ANNUAL REPORT | 2015-02-16 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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9824297004 | 2020-04-09 | 0455 | PPP | 1220 DALE MABRY HWY, TAMPA, FL, 33629-5019 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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3490288402 | 2021-02-05 | 0455 | PPS | 1220 S Dale Mabry Hwy Ste 101, Tampa, FL, 33629-5019 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State