| Entity Name: | PHYSICAL MEDICINE & REHAB CENTER OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Oct 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L14000168682 |
| FEI/EIN Number | 47-2194945 |
| Mail Address: | 10515 VERSAILLES BLVD, WELLINGTON, FL 33449 |
| Address: | 1840 FOREST HILL BLVD, 200, WEST PALM BEACH, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235534587 | 2014-10-29 | 2016-01-08 | 1840 FOREST HILL BLVD, SUITE 200, WEST PALM BEACH, FL, 334066063, US | 1840 FOREST HILL BLVD, SUITE 200, WEST PALM BEACH, FL, 334066063, US | |||||||||||||||||||
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| Phone | +1 561-249-0379 |
| Phone | +1 561-351-5497 |
Authorized person
| Name | MONWARA HASSAN |
| Role | PHYSICIAN |
| Phone | 5613515497 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 119146 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AKTHER, MOHAMMAD J | Agent | 10515 VERSAILLES BLVD, WELLINGTON, FL 33449 |
| Name | Role | Address |
|---|---|---|
| AKTHER, MOHAMMAD J | Manager | 10515 VERSAILLES BLVD, WELLINGTON, FL 33449 |
| Name | Role | Address |
|---|---|---|
| Akther, Mohammad J | Managing Member | 10515 VERSAILLES BLVD, WELLINGTON, FL 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2017-11-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-26 | AKTHER, MOHAMMAD J | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-16 | 1840 FOREST HILL BLVD, 200, WEST PALM BEACH, FL 33406 | No data |
| LC AMENDMENT | 2014-11-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-17 |
| REINSTATEMENT | 2017-11-26 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-28 |
| LC Amendment | 2014-11-21 |
| Florida Limited Liability | 2014-10-29 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
