| Entity Name: | BRENDA STERN RPT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Jun 1984 (41 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Nov 1984 (40 years ago) |
| Document Number: | H09871 |
| FEI/EIN Number | 59-2421832 |
| Address: | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 |
| Mail Address: | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558546580 | 2008-01-09 | 2008-05-16 | 2666 SW 17TH AVE, MIAMI, FL, 331332523, US | 2666 SW 17TH AVE, MIAMI, FL, 331332523, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-978-0411 |
| Fax | 3058547974 |
Authorized person
| Name | MS. BRENDA STERN TAYLOR |
| Role | PRESIDENT |
| Phone | 3059780411 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT2598 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 692403496 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STERN TAYLOR, BRENDA | Agent | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 |
| Name | Role | Address |
|---|---|---|
| STERN TAYLOR, BRENDA | MPST | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2003-04-25 | STERN TAYLOR, BRENDA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-29 | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2002-04-29 | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-29 | 2666 S.W. 17 AVENUE, MIAMI, FL 33133 | No data |
| AMENDMENT | 1984-11-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
