| Entity Name: | FUNCTIONAL REHAB SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Aug 2015 (9 years ago) |
| Document Number: | L15000138677 |
| FEI/EIN Number | 47-4816753 |
| Address: | 7815 NW Beacon Square Blvd., 101, BOCA RATON, FL 33487 |
| Mail Address: | 7815 NW Beacon Square Blvd, 101, BOCA RATON, FL 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124497417 | 2015-09-17 | 2022-01-04 | 7815 NW BEACON SQUARE BLVD STE 101, BOCA RATON, FL, 334871345, US | 7815 NW BEACON SQUARE BLVD STE 101, BOCA RATON, FL, 334871345, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-995-0136 |
| Fax | 5619950138 |
Authorized person
| Name | DR. SEYED HESSAM KHATAMI |
| Role | PRESIDENT |
| Phone | 5619950136 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9743 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11831 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11942 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT15792 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Khatami, Seyed Hessam | Agent | 7815 NW Beacon Square Blvd., 101, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| KHATAMI, HESSAM | Manager | 1698 SW 7th Terrace, BOCA RATON, FL 33486 |
| CIFUENTES, OCTAVIO | Manager | 8313 NW 8TH TERRACE, BOCA RATON, FL 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000063280 | FTX WELLNESS | ACTIVE | 2016-06-27 | 2026-12-31 | No data | 7815 NW BEACON SQUARE BLVD, #101, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-27 | Khatami, Seyed Hessam | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-07 | 7815 NW Beacon Square Blvd., 101, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-07 | 7815 NW Beacon Square Blvd., 101, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-07 | 7815 NW Beacon Square Blvd., 101, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-01-15 |
| AMENDED ANNUAL REPORT | 2017-05-07 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
