| Entity Name: | BAYSHORE REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jan 1999 (26 years ago) |
| Document Number: | P99000005759 |
| FEI/EIN Number | 650892040 |
| Address: | 6088 14TH ST. W., BRADENTON, FL, 34207 |
| Mail Address: | 6716 3rd ST CT W, BRADENTON, FL, 34207, US |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164732970 | 2010-10-14 | 2010-10-14 | 6088 14TH ST W, BRADENTON, FL, 342074104, US | 6088 14TH ST W, BRADENTON, FL, 342074104, US | |||||||||||||||||||||||||
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| Phone | +1 941-752-0758 |
| Fax | 9417524157 |
Authorized person
| Name | MR. LEONID LADYZHENSKY |
| Role | PRESIDENT |
| Phone | 9417520758 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT6466 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | Y8146 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LADYZHENSKY SVETLANA | Agent | 6716 THIRD STREET CT. WEST, BRADENTON, FL, 34207 |
| Name | Role | Address |
|---|---|---|
| LADYZHENSKY LEONID | Director | 6716 THIRD STREET CT. WEST, BRADENTON, FL, 34207 |
| LADYZHENSKY SVETLANA | Director | 6716 THIRD STREET CT. WEST, BRADENTON, FL, 34207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-03-22 | 6088 14TH ST. W., BRADENTON, FL 34207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-03-27 | 6088 14TH ST. W., BRADENTON, FL 34207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
