| Entity Name: | INJURY AND REHAB CENTERS OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jul 2020 (5 years ago) |
| Document Number: | L20000196280 |
| FEI/EIN Number | 85-2045382 |
| Address: | 1008 JULIETTE BLVD, MOUNT DORA, FL, 32757, US |
| Mail Address: | 1008 JULIETTE BLVD, MOUNT DORA, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518577089 | 2020-08-08 | 2020-08-25 | 1008 JULIETTE BLVD, MOUNT DORA, FL, 327576500, US | 2500 CITRUS BLVD, LEESBURG, FL, 347483063, US | |||||||||||||
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| Phone | +1 407-450-6991 |
Authorized person
| Name | DR. WILLIAM F VON BARGEN JR. |
| Role | AMBR |
| Phone | 4074506991 |
Taxonomy
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VON BARGEN WILLIAM FJR | Agent | 1008 JULIETTE BLVD, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| VON BARGEN WILLIAM FJR. | Auth | 1008 JULIETTE BLVD, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| RAMOS HECTOR | Authorized Member | 1101 Spring ct, Auburndale, FL, 33823 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-24 | 1008 JULIETTE BLVD, MOUNT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-24 | 1008 JULIETTE BLVD, MOUNT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-24 |
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-22 |
| Florida Limited Liability | 2020-07-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
