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JENSEN PHYSICAL THERAPY, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SAMPSON, CRAIG Agent 2101 S.E. HERRON AVE., PORT ST.LUCIE, FL 34952

Director

Name Role Address
SAMPSON, CRAIG Director 2101 SE HERRON AVE, PORT SAINT LUCIE, FL 34952

Events

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

Documents

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