| Entity Name: | PALM BEACH MEDICAL & REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Dec 2007 (17 years ago) |
| Date of dissolution: | 10 Aug 2009 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Aug 2009 (15 years ago) |
| Document Number: | L07000124861 |
| FEI/EIN Number | 261894727 |
| Address: | 2910 JOG RD, LAKE WORTH, FL, 33415 |
| Mail Address: | 2910 JOG RD, LAKE WORTH, FL, 33415 |
| ZIP code: | 33415 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164699815 | 2008-05-13 | 2008-05-13 | 2910 JOG RD, GREENACRES, FL, 334672002, US | 2910 JOG RD, GREENACRES, FL, 334672002, US | |||||||||||||
|
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| Phone | +1 561-969-3232 |
Authorized person
| Name | DR. ANGELA CULVERHOUSE |
| Role | PHYSICIAN |
| Phone | 5619693232 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CULVEYHOUSE ANGELA R | Agent | 2910 JOG RD, LAKE WORTH, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| CULVEYHOUSE ANGELA R | Manager | 2910 JOG RD, LAKE WORTH, FL, 33415 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-08-10 | No data | No data |
| REINSTATEMENT | 2008-11-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-11-05 | 2910 JOG RD, LAKE WORTH, FL 33415 | No data |
| CHANGE OF MAILING ADDRESS | 2008-11-05 | 2910 JOG RD, LAKE WORTH, FL 33415 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-11-05 | 2910 JOG RD, LAKE WORTH, FL 33415 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000626454 | ACTIVE | 1000000167820 | PALM BEACH | 2010-04-12 | 2030-06-02 | $ 444.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-08-10 |
| REINSTATEMENT | 2008-11-05 |
| Florida Limited Liability | 2007-12-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
