| Entity Name: | ROMAIN REHABILITATION CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Oct 2009 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2010 (14 years ago) |
| Document Number: | L09000095839 |
| FEI/EIN Number | 80-0737742 |
| Mail Address: | 10062 Griffin Rd, Cooper City, FL 33328 |
| Address: | 10062 Griffin, Cooper City, FL 33328 |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477848364 | 2011-06-19 | 2023-08-22 | 10062 GRIFFIN ROAD, COOPER CITY, FL, 33328, US | 10062 GRIFFIN ROAD, COOPER CITY, FL, 33328, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-252-8020 |
| Fax | 9542416991 |
Authorized person
| Name | MR. GUY ROMAIN |
| Role | PHYSICAL THERAPIST |
| Phone | 9543831366 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT 21838 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 8917329 00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMAIN, GUY | Agent | 10062 Griffin RD, Cooper City, FL 33328 |
| Name | Role | Address |
|---|---|---|
| ROMAIN, GUY | Managing Member | 10062 Griffin Rd, Cooper City, FL 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000048781 | NEUROFIT360 | ACTIVE | 2023-04-18 | 2028-12-31 | No data | 10062 GRIFFIN RD, COOPER CITY, FL, 33328 |
| G12000044125 | NEUROFIT 360 | EXPIRED | 2012-05-10 | 2017-12-31 | No data | 11835 NW 13TH STREET, PEMBROKE PINES, FL, 33026 |
| G12000044129 | NEUROEDGE FITNESS | EXPIRED | 2012-05-10 | 2017-12-31 | No data | 11835 NW 13TH STREET, PEMBROKE PINES, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-01 | 10062 Griffin, Cooper City, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-01 | 10062 Griffin, Cooper City, FL 33328 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-01 | 10062 Griffin RD, Cooper City, FL 33328 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-05-05 | ROMAIN, GUY | No data |
| REINSTATEMENT | 2010-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-01-20 |
| AMENDED ANNUAL REPORT | 2016-06-21 |
| ANNUAL REPORT | 2016-03-05 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
