| Entity Name: | REHAB LAB DAVIE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jul 2022 (3 years ago) |
| Document Number: | L22000313823 |
| FEI/EIN Number | 88-3380178 |
| Address: | 4801 SW 148TH AVE, DAVIE, FL 33330 |
| Mail Address: | 13225 SW 88 AVE, MIAMI, FL 33176 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962108258 | 2023-02-07 | 2024-03-11 | 13225 SW 88TH AVE, MIAMI, FL, 331765935, US | 4801 SW 148TH AVE, DAVIE, FL, 333302129, US | |||||||||||||
|
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| Phone | +1 954-804-2865 |
Authorized person
| Name | MR. ENRIQUE GOMEZ |
| Role | OWNER AND DIRECTOR OF OPERATIONS |
| Phone | 7868794209 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ, ENRIQUE | Agent | 13225 SW 88 AVE, MIAMI, FL 33176 |
| Name | Role |
|---|---|
| REHAB LAB USA HOLDINGS, LLC | Manager |
| Name | Role |
|---|---|
| AMJ INVESTMENTS GROUP LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-22 | 4801 SW 148TH AVE, DAVIE, FL 33330 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-22 |
| Florida Limited Liability | 2022-07-14 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
