| Entity Name: | CORDOVA REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 11 Apr 1995 (30 years ago) |
| Document Number: | F95000001738 |
| FEI/EIN Number | 593248509 |
| Address: | 2 NORTH PALAFOX STREET, PENSACOLA, FL, 32502, US |
| Mail Address: | 2 NORTH PALAFOX STREET, PENSACOLA, FL, 32502, US |
| ZIP code: | 32502 |
| County: | Escambia |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063404754 | 2005-08-18 | 2020-08-22 | 2 N PALAFOX ST, PENSACOLA, FL, 325025631, US | 1027 E. HIGHWAY BUSINESS 98, PANAMA CITY, FL, 324013632, US | |||||||||||||||||||||||
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| Phone | +1 850-430-0000 |
| Fax | 8504366766 |
| Phone | +1 850-872-1438 |
| Fax | 8507639711 |
Authorized person
| Name | SCOTT J BELL |
| Role | CEO PRESIDENT |
| Phone | 8504300000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF11740962 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAS DANIEL E | Agent | 5102 W. LAUREL STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| BELL SCOTT J | President | 2. N PALAFOX ST., PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| BELL SCOTT J | Director | 2. N PALAFOX ST., PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| TOLAN JR. JOHN J | Treasurer | 2. N PALAFOX ST., PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| FOSTER DANA R | Secretary | 2. N PALAFOX ST., PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| TREHERN W E | Vice President | 2. N PALAFOX ST., PENSACOLA, FL, 32502 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08238700023 | NURSING PAVILION AT CHIPOLA RETIREMENT CENTER | EXPIRED | 2008-08-25 | 2013-12-31 | No data | 4294 THIRD AVE, MARIANNA, FL, 32446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
