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STEVENSON PHYSICAL THERAPY, INC.

Company Details

Entity Name: STEVENSON PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Aug 1991 (34 years ago)
Document Number: S73249
FEI/EIN Number 65-0277244
Address: 15620 MCGREGOR BLVD., SUITE 115, FT. MYERS, FL 33908
Mail Address: 3736 Liberty Sq., Fort Myers, FL 33908
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336445931 2011-01-31 2011-01-31 15620 MCGREGOR BLVD, SUITE 115, FORT MYERS, FL, 339082528, US 6324 CORPORATE CT, FORT MYERS, FL, 339193507, US

Contacts

Phone +1 239-454-6262
Fax 2394540350
Phone +1 239-482-4459
Fax 2394828396

Authorized person

Name MR. ERIC W STEVENSON
Role PRESIDENT
Phone 2394546262

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
License Number PT0002829
State FL
Is Primary Yes

Agent

Name Role Address
STEVENSON, ERIC W Agent 3736 Liberty Sq., Fort Myers, FL 33908

President

Name Role Address
STEVENSON, ERIC W President 3736 Liberty Sq., Fort Myers, FL 33908

Vice President

Name Role Address
STEVENSON, ERIC W Vice President 3736 Liberty Sq., Fort Myers, FL 33908

Secretary

Name Role Address
STEVENSON, ERIC W Secretary 3736 Liberty Sq., Fort Myers, FL 33908

Treasurer

Name Role Address
STEVENSON, ERIC W Treasurer 3736 Liberty Sq., Fort Myers, FL 33908

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-01-15 15620 MCGREGOR BLVD., SUITE 115, FT. MYERS, FL 33908 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-15 3736 Liberty Sq., Fort Myers, FL 33908 No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-07 15620 MCGREGOR BLVD., SUITE 115, FT. MYERS, FL 33908 No data
REGISTERED AGENT NAME CHANGED 2006-01-11 STEVENSON, ERIC W No data

Documents

Name Date
ANNUAL REPORT 2025-01-26
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-08
ANNUAL REPORT 2021-02-07
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-03
ANNUAL REPORT 2016-04-29

Date of last update: 03 Feb 2025

Sources: Florida Department of State