| Entity Name: | EVOLUTION REHAB GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jan 2020 (5 years ago) |
| Document Number: | L20000033996 |
| FEI/EIN Number | 84-4635229 |
| Address: | 4705 N Federal Hwy, Boca raton, FL 33431 |
| Mail Address: | 7950 Dani St, 140-2, Fort Myers, FL 33966 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023840246 | 2024-08-16 | 2024-08-16 | 7950 DANI DR # 140-2, FORT MYERS, FL, 339668012, US | 350 BUSH RD, JUPITER, FL, 334585694, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 561-900-2423 |
| Fax | 5616003011 |
Authorized person
| Name | DR. BENJAMIN MARC GALIN |
| Role | ADMINISTRATOR |
| Phone | 5619002423 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GALIN, BENJAMIN | Agent | 7950 Dani St, 140-2, Fort Myers, FL 33966 |
| Name | Role | Address |
|---|---|---|
| GALIN, BENJAMIN | Manager | 7950 Dani St, 140-2 Fort Myers, FL 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 4705 N Federal Hwy, Boca raton, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-18 | 7950 Dani St, 140-2, Fort Myers, FL 33966 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-04 | 4705 N Federal Hwy, Boca raton, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-05 |
| Florida Limited Liability | 2020-01-28 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
