| Entity Name: | FLORIDA REHABILITATION SPECIALIST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 2004 (21 years ago) |
| Document Number: | L04000014699 |
| FEI/EIN Number | 200789201 |
| Address: | 134 N Old Dixie Hwy, Lady Lake, FL, 32159-4347, US |
| Mail Address: | 134 N Old Dixie Hwy, Lady Lake, FL, 32159-4347, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821040460 | 2006-05-16 | 2015-03-05 | 134 N OLD DIXIE HWY, LADY LAKE, FL, 321594347, US | 134 N OLD DIXIE HWY, LADY LAKE, FL, 321594347, US | |||||||||||||||||
|
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| Phone | +1 352-751-6627 |
| Fax | 3527516628 |
Authorized person
| Name | ARTEMIO DINAL |
| Role | PHYSICAL THERAPIST |
| Phone | 3527516627 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DINAL ARTEMIO | Agent | 134 N Old Dixie Hwy, Lady Lake, FL, 321594347 |
| Name | Role | Address |
|---|---|---|
| DELAROSA FORWEN | Managing Member | 4375 NE 29TH ST., OCALA, FL, 34470 |
| DINAL ARTEMIO | Managing Member | 12401 NE 50TH VIEW, OXFORD, FL, 34484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-31 | DINAL, ARTEMIO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-24 | 134 N Old Dixie Hwy, Lady Lake, FL 32159-4347 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-19 | 134 N Old Dixie Hwy, Lady Lake, FL 32159-4347 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-19 | 134 N Old Dixie Hwy, Lady Lake, FL 32159-4347 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-05-02 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
