Entity Name: | PHYSICAL THERAPY SERVICES OF BROOKSVILLE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Nov 1991 (33 years ago) |
Document Number: | S97266 |
FEI/EIN Number | 593096501 |
Address: | 20195 CORTEZ BLVD., BROOKSVILLE, FL, 34601, US |
Mail Address: | 20195 CORTEZ BLVD., BROOKSVILLE, FL, 34601, US |
ZIP code: | 34601 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275506305 | 2006-02-09 | 2008-02-06 | 20195 CORTEZ BLVD, BROOKSVILLE, FL, 346013850, US | 20195 CORTEZ BLVD, BROOKSVILLE, FL, 346013850, US | |||||||||||||||
|
Phone | +1 352-754-4500 |
Fax | 3527549343 |
Authorized person
Name | MR. KELLY RICE |
Role | PRESIDENT |
Phone | 3527544500 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RICE KELLY S | Agent | 1928 C 478A, WEBSTER, FL, 33585 |
Name | Role | Address |
---|---|---|
RICE KELLY S | Director | 1928 C 478A, WEBSTER, FL, 33585 |
RICE KATHERINE M | Director | 1928 C 478A, WEBSTER, FL, 33585 |
Name | Role | Address |
---|---|---|
RICE KELLY S | President | 1928 C 478A, WEBSTER, FL, 33585 |
Name | Role | Address |
---|---|---|
RICE KATHERINE M | Vice President | 1928 C 478A, WEBSTER, FL, 33585 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000062679 | PHYSICAL THERAPY SERVICES OF SUMTER | ACTIVE | 2024-05-14 | 2029-12-31 | No data | WEST OAKS CENTER, 413 N WEST STREET, BUSHNELL, FL, 33513 |
G11000029540 | PHYSICAL THERAPY SERVICES OF SPRING HILL | ACTIVE | 2011-03-23 | 2026-12-31 | No data | 20195 CORTEZ BLVD., BROOKSVILLE, FL, 34601 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State