| Entity Name: | NEUROTRAUMA & REHABILITATION INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2024 (9 months ago) |
| Document Number: | L24000202845 |
| Address: | 17395 NW 59TH AVE, SUITE C, HIALEAH, FL, 33015, US |
| Mail Address: | 17395 NW 59TH AVE, SUITE C, HIALEAH, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639903925 | 2024-08-28 | 2024-08-28 | 17395 NW 59TH AVE, HIALEAH, FL, 330155111, US | 17395 NW 59TH AVE, HIALEAH, FL, 330155111, US | |||||||||||||||
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| Phone | +1 305-261-1210 |
| Fax | 3058262600 |
Authorized person
| Name | DR. DIEGO A RIELO |
| Role | CEO |
| Phone | 3052611210 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PADRON & ASSOCIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| RIELO DIEGO A | Authorized Member | 17395 NW 59TH AVE - SUITE C, HIALEAH, FL, 33015 |
| BENITEZ ANTOLIN | Authorized Member | 17395 NW 59TH AVE - SUITE C, HIALEAH, FL, 33015 |
| SANCHEZ WILLIAM E | Authorized Member | 17395 NW 59TH AVE - SUITE C, HIALEAH, FL, 33015 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
