| Entity Name: | REHAB SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
REHAB SOUTH FLORIDA, 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. |
| 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: | 08 Dec 2017 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L17000252173 |
| FEI/EIN Number |
82-3653495
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 323 W LANTANA RD, LANTANA, FL 33462 |
| Mail Address: | 323 W LANTANA RD, LANTANA, FL 33462 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003324625 | 2018-01-17 | 2020-09-22 | 4460 MEDICAL CENTER WAY STE 1, WEST PALM BEACH, FL, 334073285, US | 4460 MEDICAL CENTER WAY, WEST PALM BEACH, FL, 334073285, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-388-3111 |
| Fax | 8018818827 |
| Phone | +1 863-532-3151 |
Authorized person
| Name | WHITNEY MCMILLAN |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 8635323151 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TEST |
| Number | 1234 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JABER, TALIB | Manager | 327 W. LANTANA ROAD, SUITE: WELLCARE LANTANA, FL 33462 |
| SANZ , CARMEN | Manager | 327 W. LANTANA ROAD, SUITE: WELLCARE LANTANA, FL 33462 |
| NICOLE J. HUESMANN, P.A. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000135597 | OSBORNE SOBER LIVING | ACTIVE | 2021-10-08 | 2026-12-31 | - | 410 LAKE OSBORNE DR, LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-01 | 323 W LANTANA RD, LANTANA, FL 33462 | - |
| CHANGE OF MAILING ADDRESS | 2021-03-01 | 323 W LANTANA RD, LANTANA, FL 33462 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-01 | 150 ALHAMBRA CIRCLE, SUITE 1150, CORAL GABLES, FL 33134 | - |
| REGISTERED AGENT NAME CHANGED | 2020-02-20 | NICOLE J. HUESMANN, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-02-06 |
| Florida Limited Liability | 2017-12-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2554787104 | 2020-04-10 | 0455 | PPP | 4460 MEDICAL CENTER WAY Suite 1, WEST PALM BEACH, FL, 33407-3285 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8699948403 | 2021-02-13 | 0455 | PPS | 323 W LANTANA ROAD, LANTANA, FL, 33462 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
