| Entity Name: | WHITE SANDS PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Jun 1998 (27 years ago) |
| Date of dissolution: | 16 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Mar 2022 (3 years ago) |
| Document Number: | P98000050894 |
| FEI/EIN Number | 593515040 |
| Address: | 11Warwick Dr, Shalimar, FL, 32579, US |
| Mail Address: | 11 WARWICK DRIVE, SHALIMAR, FL, 32579, US |
| ZIP code: | 32579 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780652941 | 2006-03-14 | 2013-04-02 | 600 OPP DRIVE, FT. WALTON BEACH, FL, 325484493, US | 600 OPP DRIVE, FT. WALTON BEACH, FL, 325484493, US | |||||||||||||||||||
|
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| Phone | +1 850-301-1935 |
| Fax | 8503011937 |
Authorized person
| Name | ROBERT P MANN |
| Role | DIRECTOR |
| Phone | 8503011935 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | 250750708034 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mann Suzanne S | Agent | 11Warwick Dr, Shalimar, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| MANN SUZANNE S | President | 11 WARWICK DRIVE, SHALIMAR, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| Mann Preston S | Director | 11 WARWICK DRIVE, SHALIMAR, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-12 | 11Warwick Dr, Shalimar, FL 32579 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-12 | Mann, Suzanne Sage | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-12 | 11Warwick Dr, Shalimar, FL 32579 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-30 | 11Warwick Dr, Shalimar, FL 32579 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-16 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-23 |
| ANNUAL REPORT | 2014-02-03 |
| ANNUAL REPORT | 2013-02-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
