| Entity Name: | EREHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Sep 2014 (10 years ago) |
| Document Number: | L14000137384 |
| FEI/EIN Number | 47-1972522 |
| Address: | 31 Stone Gate N, Longwood, FL, 32779, US |
| Mail Address: | P.O. Box 161075, Altamonte Springs, FL, 32716, US |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528461225 | 2014-10-08 | 2022-01-21 | PO BOX 161075, ALTAMONTE SPRINGS, FL, 327161075, US | 831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL, 327143502, US | |||||||||||||||
|
|||||||||||||||||||
| Name | DR. ELIAM M FUENTES TIRADO |
| Role | CEO |
| Phone | 7879550232 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME114560 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FUENTES TIRADO ELIAM MD | Agent | 31 Stone Gate N, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| FUENTES TIRADO ELIAM | Managing Member | 31 Stone Gate N, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-19 | 31 Stone Gate N, Longwood, FL 32779 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-12 | 31 Stone Gate N, LONGWOOD, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2017-07-03 | 31 Stone Gate N, Longwood, FL 32779 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-07-03 |
| ANNUAL REPORT | 2016-05-10 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
