| Entity Name: | ADVANCED PHYSICAL THERAPY OF BRADENTON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Dec 1998 (26 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P98000107850 |
| FEI/EIN Number | 65-0887111 |
| Address: | 5221 EAST 33RD ST, BRADENTON, FL 34203 |
| Mail Address: | 5221 EAST 33RD ST, BRADENTON, FL 34203 |
| ZIP code: | 34203 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538234133 | 2006-11-21 | 2007-08-31 | 5221 33RD ST E, BRADENTON, FL, 342034330, US | 5221 33RD ST E, BRADENTON, FL, 342034330, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-752-9719 |
| Fax | 9417529739 |
Authorized person
| Name | KATHLEEN DEVINE |
| Role | OWNER |
| Phone | 9417529719 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HEALTH PARTNERS |
| Number | 90214 |
| State | FL |
| Issuer | Y907K |
| Number | BCBS OF FLORIDA |
| State | FL |
| Issuer | AETNA HMO ONLY |
| Number | 2239824 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE, KATHLEEN | Agent | 7338 PERIWINKLE DRIVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE, KATHLEEN | President | 7338 PERIWINKLE DRIVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE, KATHLEEN | Director | 7338 PERIWINKLE DRIVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE, KATHLEEN | Secretary | 7338 PERIWINKLE DRIVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| GALICA-DEVINE, KATHLEEN | Treasurer | 7338 PERIWINKLE DRIVE, SARASOTA, FL 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-05-23 | 5221 EAST 33RD ST, BRADENTON, FL 34203 | No data |
| CHANGE OF MAILING ADDRESS | 2001-05-23 | 5221 EAST 33RD ST, BRADENTON, FL 34203 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-12-07 | 7338 PERIWINKLE DRIVE, SARASOTA, FL 34231 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-04-16 |
| ANNUAL REPORT | 2006-04-27 |
| ANNUAL REPORT | 2005-01-21 |
| ANNUAL REPORT | 2004-01-21 |
| ANNUAL REPORT | 2003-02-28 |
| ANNUAL REPORT | 2002-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
