| Entity Name: | SOUTH PALM PHYSICAL THERAPY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Jun 1991 (34 years ago) |
| Document Number: | S62676 |
| FEI/EIN Number | 65-0269834 |
| Address: | 6642 N.W. 25TH CT., BOCA RATON, FL 33496 |
| Mail Address: | 6642 N.W. 25TH CT., BOCA RATON, FL 33496 |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629071212 | 2005-05-27 | 2011-11-16 | 6642 NW 25TH CT, BOCA RATON, FL, 334962016, US | 6642 NW 25TH CT, BOCA RATON, FL, 334962016, US | |||||||||||||||||||
|
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| Phone | +1 561-376-8935 |
| Fax | 5612417763 |
Authorized person
| Name | MR. MICHAEL P BOVARNICK |
| Role | PRESIDENT |
| Phone | 5613768935 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT5811 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOLZ, CHARLES | Agent | 6741 NW 23RD WAY, BOCA RATON, FL 33496 |
| Name | Role | Address |
|---|---|---|
| Bovarnick, Michael | Director | 6642 N.W. 25TH CT., BOCA RATON, FL 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2002-02-03 | BOLZ, CHARLES | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-03 | 6741 NW 23RD WAY, BOCA RATON, FL 33496 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1993-10-11 | 6642 N.W. 25TH CT., BOCA RATON, FL 33496 | No data |
| CHANGE OF MAILING ADDRESS | 1993-10-11 | 6642 N.W. 25TH CT., BOCA RATON, FL 33496 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-31 |
| ANNUAL REPORT | 2015-01-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
