| Entity Name: | CONNERTON OUTPATIENT REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2018 (7 years ago) |
| Document Number: | L18000168944 |
| FEI/EIN Number | 83-1205269 |
| Address: | 8527 LAND O LAKES BLVD, LAND O LAKES, FL, 34638 |
| Mail Address: | 6761 LAND O LAKES BLVD, LAND O LAKES, FL, 34638, UN |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578047205 | 2018-09-19 | 2018-09-19 | 6761 LAND O LAKES BLVD, LAND O LAKES, FL, 346383234, US | 8527 LAND O LAKES BLVD, LAND O LAKES, FL, 34638, US | |||||||||||||||
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| Phone | +1 813-929-8885 |
| Fax | 8139298932 |
Authorized person
| Name | MR. ROBERT MALHOIT |
| Role | PRESIDENT |
| Phone | 8139298885 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALHOIT ROBERT S | Agent | 6761 LAND O LAKES BOULEVARD, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| MALHOIT ROBERT S | Manager | 6761 LAND O LAKES BOULEVARD, LAND O LAKES, FL, 34638 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-28 |
| Florida Limited Liability | 2018-07-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
