| Entity Name: | SOUTH FLORIDA NEURO REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Aug 2023 (a year ago) |
| Document Number: | L23000394334 |
| FEI/EIN Number | 93-3065809 |
| Address: | 8645 N. Military Trail, Suite 401, Palm Beach Gardens, FL 33418 |
| Mail Address: | 8645 N. Military Trail, Suite 401, Palm Beach Gardens, FL 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629854799 | 2023-09-05 | 2024-03-04 | 166 SEABREEZE CIR, JUPITER, FL, 334776426, US | 166 SEABREEZE CIR, JUPITER, FL, 334776426, US | |||||||||||||
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| Phone | +1 561-662-5863 |
Authorized person
| Name | LAUREN PROENCA |
| Role | OWNER, PHYSICAL THERAPIST |
| Phone | 5616625863 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PROENCA, LAUREN N | Agent | 166 SEABREEZE CIRCLE, JUPITER, FL 33477 |
| Name | Role | Address |
|---|---|---|
| PROENCA, LAUREN N | Manager | 166 SEABREEZE CIRCLE, JUPITER, FL 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 8645 N. Military Trail, Suite 401, Palm Beach Gardens, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-06 | 8645 N. Military Trail, Suite 401, Palm Beach Gardens, FL 33418 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-10 | PROENCA, LAUREN N | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-06 |
| ANNUAL REPORT | 2024-03-10 |
| Florida Limited Liability | 2023-08-22 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
