| Entity Name: | CLINICA NEUROREHABILITAR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Dec 2021 (3 years ago) |
| Document Number: | L21000422440 |
| FEI/EIN Number | 32-0671479 |
| Address: | 2030 S. DOUGLAS ROAD, CORAL GABLES, FL, 33134, US |
| Mail Address: | 2030 S. DOUGLAS ROAD, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366149379 | 2023-02-09 | 2023-02-09 | 2030 S DOUGLAS RD STE 109, CORAL GABLES, FL, 331344615, US | 2030 S DOUGLAS RD STE 109, CORAL GABLES, FL, 331344615, US | |||||||||||||||||||||||
|
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| Phone | +1 786-961-5799 |
Authorized person
| Name | ANA LUCIA COLLAZOS |
| Role | OFFICE ADMINISTRATOR |
| Phone | 7866467256 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1124674023 |
| State | FL |
| Name | Role |
|---|---|
| WXC CORPORATION | Agent |
| Name | Role | Address |
|---|---|---|
| SANCHEZ BECERRA CECILIA | Manager | 7275 SW 89TH ST, MIAMI, FL, 33156 |
| Sanchez Becerra ANGELA L | Manager | 7275 SW 89TH ST, MIAMI, FL, 33156 |
| CLINICA NEUROREHABILITAR LTDA | Manager | 2030 S. DOUGLAS ROAD, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 2030 S. DOUGLAS ROAD, 109, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 2030 S. DOUGLAS ROAD, 109, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | WXC CORPORATION | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 8750 NW 36TH ST, SUITE 540, DORAL, FL 33178 | No data |
| LC AMENDMENT | 2021-12-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-23 |
| AMENDED ANNUAL REPORT | 2022-05-18 |
| AMENDED ANNUAL REPORT | 2022-05-12 |
| ANNUAL REPORT | 2022-03-05 |
| LC Amendment | 2021-12-02 |
| Florida Limited Liability | 2021-09-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
