| Entity Name: | PALM REHABILITATION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Dec 1983 (41 years ago) |
| Document Number: | G80830 |
| FEI/EIN Number | 592348627 |
| Address: | 9900 STIRLING ROAD, SUITE 303, COOPER CITY, FL, 33024, US |
| Mail Address: | 9900 STIRLING ROAD, SUITE 303, COOPER CITY, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295897536 | 2006-12-14 | 2023-10-24 | 9900 STIRLING RD STE 303, HOLLYWOOD, FL, 330248066, US | 9900 STIRLING RD STE 303, HOLLYWOOD, FL, 330248066, US | |||||||||||||||||||
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| Phone | +1 954-432-8872 |
| Fax | 9544329913 |
Authorized person
| Name | MR. KENNETH BERG |
| Role | PRESIDENT |
| Phone | 9547487474 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | HCC4519 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHEVERE PETER | Agent | 730 SW 78th ave., PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| CHEVERE PETER | President | 9900 STIRLING RD, SUITE 303, COOPER CITY, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| LUBIN MARCK | Vice President | 9900 STIRLING RD, SUITE 303, COOPER CITY, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-07-11 | No data | No data |
| AMENDMENT | 2010-03-15 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000430161 | TERMINATED | 1000000871714 | BROWARD | 2020-12-24 | 2040-12-30 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J17000630345 | TERMINATED | 1000000762261 | BROWARD | 2017-11-08 | 2037-11-14 | $ 920.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
