| Entity Name: | PREHAB CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jul 2021 (4 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: | L21000340306 |
| FEI/EIN Number | 87-1843549 |
| Address: | 859 MICHELE CIRCLE, DUNEDIN, FL, 34698, US |
| Mail Address: | 859 MICHELE CIRCLE, DUNEDIN, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609549807 | 2021-07-26 | 2021-08-17 | 859 MICHELE CIR, DUNEDIN, FL, 346986131, US | 859 MICHELE CIR, DUNEDIN, FL, 346986131, US | |||||||||||||||||||
|
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| Phone | +1 215-696-5568 |
Authorized person
| Name | MRS. JENNIFER CLARK |
| Role | LEAD OCCUPATIONAL THERAPIST |
| Phone | 2156965568 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1316188766 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLARK JENNIFER | Agent | 859 MICHELE CIRCLE, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| CLARK JENNIFER | Managing Member | 859 MICHELE CIRCLE, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-29 |
| Florida Limited Liability | 2021-07-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
