| Entity Name: | SHELTON THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Nov 1999 (25 years ago) |
| Date of dissolution: | 02 May 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 May 2022 (3 years ago) |
| Document Number: | P99000097763 |
| FEI/EIN Number | 59-3606865 |
| Address: | 720-1 ST. JOHNS BLUFF RD, JACKSONVILLE, FL 32225 UN |
| Mail Address: | 720-1 ST. JOHNS BLUFF RD, JACKSONVILLE, FL 32225 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710968128 | 2005-11-11 | 2007-11-08 | 720 SAINT JOHNS BLUFF RD N, STE 1, JACKSONVILLE, FL, 322256704, US | 720 SAINT JOHNS BLUFF RD N, STE 1, JACKSONVILLE, FL, 322256704, US | |||||||||||||||||||||||||||
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| Phone | +1 904-646-1144 |
| Fax | 9049280039 |
Authorized person
| Name | MRS. MELISSA J DAVIS |
| Role | BUSINESS MANAGER |
| Phone | 9046461144 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CK5020 |
| State | FL |
| Issuer | BCBS |
| Number | Y907R |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHELTON, DAVID | Agent | 720-1 ST. JOHNS BLUFF RD, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| SHELTON, DAVID A | President | 1862 HICKORY LN., ATLANTIC BEACH, FL 32233 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000022527 | PROGRESSIVE STEP REHABILITATION SERVICES | EXPIRED | 2012-03-05 | 2017-12-31 | No data | 720 ST JOHNS BLUFF RD N, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-05-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-24 | 720-1 ST. JOHNS BLUFF RD, JACKSONVILLE, FL 32225 UN | No data |
| CANCEL ADM DISS/REV | 2010-04-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2004-10-19 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2004-10-19 | 720-1 ST. JOHNS BLUFF RD, JACKSONVILLE, FL 32225 UN | No data |
| REGISTERED AGENT NAME CHANGED | 2004-10-19 | SHELTON, DAVID | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-10-19 | 720-1 ST. JOHNS BLUFF RD, JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-05-02 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-04-01 |
| ANNUAL REPORT | 2013-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
