| Entity Name: | PEMBROKE PINES THERAPY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Apr 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L09000039327 |
| FEI/EIN Number | 26-4758337 |
| Mail Address: | PO BOX 6455, WEST PALM BEACH, FL 33405 |
| Address: | 6030 HOLLYWOOD BLVD, STE 250, HOLLYWOOD, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508092677 | 2009-06-03 | 2009-11-23 | P.O BOX 6455, WEST PALM BEACH, FL, 33405, US | 7857 PINES BLVD, PEMBROKE PINES, FL, 33024, US | |||||||||||||||||||||||
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| Phone | +1 561-429-5840 |
| Fax | 5614295804 |
| Phone | +1 561-627-2821 |
| Fax | 5616272821 |
Authorized person
| Name | DR. RAFAEL FOSS |
| Role | MM |
| Phone | 7863701111 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9389 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOSS, RAFAEL | Agent | 4212 NORTHLAKE BLVD, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| FOSS, RAFAEL | Managing Member | 4212 NORTHLAKE BLVD, PALM BEACH GARDENS, FL 33410 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000101761 | ACCIDENT AND WELLNESS CENTERS | EXPIRED | 2009-04-28 | 2014-12-31 | No data | 4212 NORTHLAKE BLVD, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-12-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-26 | 6030 HOLLYWOOD BLVD, STE 250, HOLLYWOOD, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-26 | 6030 HOLLYWOOD BLVD, STE 250, HOLLYWOOD, FL 33024 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2011-12-16 |
| ANNUAL REPORT | 2010-03-26 |
| Florida Limited Liability | 2009-04-23 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
