| Entity Name: | ACUPUNCTURE AND PHYSICAL THERAPY SPECIALISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Jul 1999 (26 years ago) |
| Document Number: | P99000060918 |
| FEI/EIN Number | 59-3586094 |
| Address: | 1485 MARKHAM WOODS CV, LONGWOOD, FL 32779 |
| Mail Address: | PO BOX 953925, LAKE MARY, FL 32795-3925 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1720155997 | 2006-11-30 | 2023-09-15 | PO BOX 953925, LAKE MARY, FL, 327953925, US | 2501 S VOLUSIA AVE STE 200, ORANGE CITY, FL, 327639134, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-774-6333 |
| Fax | 3864101603 |
Authorized person
| Name | MS. MENN-LI LIN |
| Role | CHIEF FINANCIAL MANAGER |
| Phone | 3867746333 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2096 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP544 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2900 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2976 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP3608 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT7299 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT22574 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT7339 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT9087 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT29612 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT27376 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT25562 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | GROUP |
| Number | 2381853 |
| State | FL |
| Issuer | GROUP |
| Number | 1869541 |
| State | FL |
| Issuer | GROUP BCBS PO |
| Number | Y923L |
| State | FL |
| Issuer | GROUP BCBS OB |
| Number | Y926B |
| State | FL |
| Issuer | GROUP BCBS OC |
| Number | Y923D |
| State | FL |
| Issuer | GROUP |
| Number | CH2068 |
| State | FL |
| Issuer | PTAN |
| Number | K1325 |
| State | FL |
| Issuer | MEDICAID |
| Number | 014966000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LIN, MENN-LI | Agent | 1485 Markham Woods CV, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| WANG, CHARNG-SHEN | President | 1485 Markham Woods CV, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| WANG, CHARNG-SHEN | Secretary | 1485 Markham Woods CV, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| WANG, CHARNG-SHEN | Director | 1485 Markham Woods CV, Longwood, FL 32779 |
| LIN, MENN-LI | Director | 1485 Markham Woods CV, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| LIN, MENN-LI | Vice President | 1485 Markham Woods CV, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| LIN, MENN-LI | Treasurer | 1485 Markham Woods CV, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| Wang, Sean | Officer | 3415 W Lake Mary Blvd, Ste 951290 Lake Mary, FL 32795 |
| Wang, Derek | Officer | PO BOX 953925, LAKE MARY, FL 32795-3925 |
| Wang, Tiffany | Officer | PO BOX 953925, LAKE MARY, FL 32795-3925 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04310900181 | AMERICAN REHAB CONNECTIONS | ACTIVE | 2004-11-05 | 2029-12-31 | No data | 1485 MARKHAM WOODS CV, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-04 | 1485 Markham Woods CV, Longwood, FL 32779 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-31 | 1485 MARKHAM WOODS CV, LONGWOOD, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2018-05-31 | 1485 MARKHAM WOODS CV, LONGWOOD, FL 32779 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-05 | LIN, MENN-LI | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
