| Entity Name: | PRACTICAL REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Apr 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Feb 2024 (a year ago) |
| Document Number: | L19000116394 |
| FEI/EIN Number | 83-4665463 |
| Address: | 4019 HENDERSON BLVD, TAMPA, FL 33629 |
| Mail Address: | 4019 HENDERSON BLVD, TAMPA, FL 33629 |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275188849 | 2019-08-09 | 2019-08-09 | 4019 HENDERSON BLVD, TAMPA, FL, 336294939, US | 4019 HENDERSON BLVD, TAMPA, FL, 336294939, US | |||||||||||||||
|
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| Phone | +1 813-395-0018 |
| Fax | 9176017515 |
Authorized person
| Name | JESSE POLANCO |
| Role | PT/OWNER |
| Phone | 8133950018 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POLANCO, JESSE | Agent | 4019 HENDERSON BLVD, TAMPA, FL 33629 |
| Name | Role | Address |
|---|---|---|
| POLANCO, JESSE | DR. | 4019 HENDERSON BLVD, TAMPA, FL 33629 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000084790 | PHYSIOCARE SPINE & SPORT | EXPIRED | 2019-08-11 | 2024-12-31 | No data | 4019 HENDERSON BLVD, TAMPA, FL, 33629 |
| G19000063896 | PHYSIOCARE SPORT & SPINE | EXPIRED | 2019-06-03 | 2024-12-31 | No data | 4019 HENDERSON BLVD, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-19 | POLANCO, JESSE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-19 | 4019 HENDERSON BLVD, TAMPA, FL 33629 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-30 | 4019 HENDERSON BLVD, TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-30 | 4019 HENDERSON BLVD, TAMPA, FL 33629 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-19 |
| Florida Limited Liability | 2019-04-29 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
