| Entity Name: | FIDELITY REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 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: | L09000053155 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 14030 TROUVILLE DRIVE, TAMPA, FL, 33624 |
| Mail Address: | P. O. BOX 272873, TAMPA, FL, 33688 |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972896827 | 2011-05-25 | 2011-05-25 | PO BOX 272873, TAMPA, FL, 336882873, US | 14030 TROUVILLE DR, TAMPA, FL, 336246970, US | |||||||||||||||||
|
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| Phone | +1 813-389-8463 |
Authorized person
| Name | ALICE LUBANGA |
| Role | CEO |
| Phone | 8133898463 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT 5449 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUBANGA ALICE A | Agent | 14030 TROUVILLE DRIVE, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| LUBANGA ALICE | Manager | P. O BOX 272873, TAMPA, FL, 33688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-04-29 |
| Florida Limited Liability | 2009-06-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
