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NEULIFE REHABILITATION OF FLORIDA, INC. - Florida Company Profile

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Company Details

Entity Name: NEULIFE REHABILITATION OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 27 Jun 2022 (3 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 04 Jan 2024 (2 years ago)
Document Number: F22000004018
FEI/EIN Number 87-2583358
Address: 2725 ROBIE AVE, MOUNT DORA, FL, 32757, US
Mail Address: 2725 ROBIE AVE, MOUNT DORA, FL, 32757, US
ZIP code: 32757
City: Mount Dora
County: Lake
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
KELLEY PATRICK President 1300 WILSON BLVD, STE 910, ROSSLYN, VA, 22209
KELLEY PATRICK Director 1300 WILSON BLVD, STE 910, ROSSLYN, VA, 22209
SCHWARZ RYAN Director 1300 WILSON BLVD, STE 910, ROSSLYN, VA, 22209
SCHWARZ RYAN Vice President 1300 WILSON BLVD, STE 910, ROSSLYN, VA, 22209
TERA WELCH Agent 2725 ROBIE AVE, MOUNT DORA, FL, 32757
Tuan Alex Secretary 1300 WILSON BLVD, STE 910, ROSSLYN, VA, 22209

National Provider Identifier

NPI Number:
1548988447
Certification Date:
2025-03-19

Authorized Person:

Name:
PATRICK G KELLEY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
2081P0301X - Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
No
Selected Taxonomy:
313M00000X - Nursing Facility/Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
320700000X - Physical Disabilities Residential Treatment Facility
Is Primary:
No

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000098927 NEULIFE REHABILITATION OF FLORIDA ACTIVE 2022-08-22 2027-12-31 - 1300 WILSON BLVD., SUITE 910, ROSSLYN, VA, 22209

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2024-01-04 NEULIFE REHABILITATION OF FLORIDA, INC. -
CHANGE OF PRINCIPAL ADDRESS 2023-07-24 2725 ROBIE AVE, MOUNT DORA, FL 32757 -
CHANGE OF MAILING ADDRESS 2023-07-24 2725 ROBIE AVE, MOUNT DORA, FL 32757 -
REGISTERED AGENT NAME CHANGED 2023-07-24 TERA WELCH -
REGISTERED AGENT ADDRESS CHANGED 2023-07-24 2725 ROBIE AVE, MOUNT DORA, FL 32757 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-03-05
Name Change 2024-01-04
Reg. Agent Change 2023-07-24
ANNUAL REPORT 2023-07-13
Foreign Profit 2022-06-27

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Date of last update: 03 Aug 2025

Sources: Florida Department of State