Entity Name: | JENSEN PHYSICAL THERAPY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 11 Jan 1999 (26 years ago) |
Date of dissolution: | 30 Jun 2015 (10 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 30 Jun 2015 (10 years ago) |
Document Number: | P99000003230 |
FEI/EIN Number | 65-0896407 |
Address: | 2101 S.E. Herron Ave, Port Saint Lucie, FL 34952 |
Mail Address: | 2101 S.E. Herron Ave, Port Saint Lucie, FL 34952 |
ZIP code: | 34952 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821227778 | 2009-07-13 | 2012-02-10 | 702 JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957, US | 702 JENSEN BEACH BLVD., JENSEN BEACH, FL, 34957, US | |||||||||||||||||||
|
Phone | +1 772-225-8908 |
Fax | 7722250843 |
Authorized person
Name | GLENN CRAIG SAMPSON |
Role | PHYSICAL THERAPIST / OWNER |
Phone | 7722258908 |
Taxonomy
Taxonomy Code | 2083X0100X - Occupational Medicine Physician |
Is Primary | No |
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SAMPSON, CRAIG | Agent | 2101 S.E. HERRON AVE., PORT ST.LUCIE, FL 34952 |
Name | Role | Address |
---|---|---|
SAMPSON, CRAIG | Director | 2101 SE HERRON AVE, PORT SAINT LUCIE, FL 34952 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2015-06-30 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-02-25 | 2101 S.E. Herron Ave, Port Saint Lucie, FL 34952 | No data |
CHANGE OF MAILING ADDRESS | 2015-02-25 | 2101 S.E. Herron Ave, Port Saint Lucie, FL 34952 | No data |
MERGER | 2005-07-21 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000052987 |
Name | Date |
---|---|
Reg. Agent Resignation | 2015-07-01 |
Voluntary Dissolution | 2015-06-30 |
ANNUAL REPORT | 2015-02-25 |
ANNUAL REPORT | 2014-03-03 |
ANNUAL REPORT | 2013-02-19 |
ANNUAL REPORT | 2012-04-26 |
ANNUAL REPORT | 2011-03-17 |
ANNUAL REPORT | 2010-04-28 |
ANNUAL REPORT | 2009-06-11 |
Off/Dir Resignation | 2008-11-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State