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LAKE MARY PHYSICAL THERAPY, INC. - Florida Company Profile

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Company Details

Entity Name: LAKE MARY PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Nov 1991 (34 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: S95681
FEI/EIN Number 593093440
Address: 3850 SHERIDAN STREET, HOLLYWOOD, FL, 33021, US
Mail Address: 3850 SHERIDAN STREET, HOLLYWOOD, FL, 33021, US
ZIP code: 33021
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAPIRO, CHARLES Director 3850 SHERIDAN ST, HOLLYWOOD, FL
SHAPIRO, ANNA Director 3850 SHERIDAN ST, HOLLYWOOD, FL
SHAPIRO, ANNA Secretary 3850 SHERIDAN ST, HOLLYWOOD, FL
PIACENTINE, GARY President 3850 SHERIDAN ST, HOLLYWOOD, FL
SHAPIRO, ANNA Treasurer 3850 SHERIDAN ST, HOLLYWOOD, FL
PIACENTINE, GARY Director 3850 SHERIDAN ST, HOLLYWOOD, FL
SHAPIRO, CHARLES Agent 3850 SHERIDAN ST, HOLLYWOOD, FL, 33021

National Provider Identifier

NPI Number:
1316089568

Authorized Person:

Name:
MR. GARY JAMES PIACENTINE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4073217309

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF MAILING ADDRESS 2011-03-22 3850 SHERIDAN STREET, HOLLYWOOD, FL 33021 -
CHANGE OF PRINCIPAL ADDRESS 2010-01-19 3850 SHERIDAN STREET, HOLLYWOOD, FL 33021 -

Documents

Name Date
ANNUAL REPORT 2011-03-22
ANNUAL REPORT 2010-01-19
ANNUAL REPORT 2009-01-14
ANNUAL REPORT 2008-01-23
ANNUAL REPORT 2007-05-02
ANNUAL REPORT 2006-02-06
ANNUAL REPORT 2005-03-21
ANNUAL REPORT 2004-01-12
ANNUAL REPORT 2003-01-21
ANNUAL REPORT 2002-04-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State