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PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC - Florida Company Profile

Company Details

Entity Name: PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 17 Mar 2011 (14 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: L11000032483
Address: 6175 SW 192 AVE, PEMBROKE PINES, FL, 33332
Mail Address: 6175 SW 192 AVE, PEMBROKE PINES, FL, 33332
ZIP code: 33332
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982984704 2011-08-24 2011-08-24 6175 SW 192ND AVE, PEMBROKE PINES, FL, 33332, US 6175 SW 192ND AVE, PEMBROKE PINES, FL, 33332, US

Contacts

Phone +1 919-260-8760

Authorized person

Name DR. GREGORY SAMSON
Role PHYSICIAN
Phone 9192608760

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number ME 99900
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
SAMSON GREGORY Managing Member 6175 SW 192 AVE, PEMBROKE PINES, FL, 33332
ALBERT CARLE N Agent 4105 NW 88 AVE, CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -

Documents

Name Date
Florida Limited Liability 2011-03-17

Date of last update: 01 Apr 2025

Sources: Florida Department of State