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NEUROLOGICAL REHABILITATION CENTER PROGRAM SERVICES, INC.

Company Details

Entity Name: NEUROLOGICAL REHABILITATION CENTER PROGRAM SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Oct 1989 (35 years ago)
Document Number: L24309
FEI/EIN Number 650157388
Address: 7777 NORTH UNIVERSITY DRIVE, SUITE 101-SOUTH, TAMARAC, FL, 33321
Mail Address: 7777 NORTH UNIVERSITY DRIVE, SUITE 101-SOUTH, TAMARAC, FL, 33321
ZIP code: 33321
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588782957 2007-03-26 2020-08-22 7777 N UNIVERSITY DR STE 101S, TAMARAC, FL, 333216106, US 7777 N UNIVERSITY DR STE 101S, TAMARAC, FL, 333216106, US

Contacts

Phone +1 954-722-2110
Fax 9547222304

Authorized person

Name MS. AYANA STEPHENSON
Role VP OPERATIONS
Phone 9547222110

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
CUERVO, JORGE Agent 7777 NORTH UNIVERSITY DRIVE, TAMARAC, FL, 33321

Director

Name Role Address
Cuervo Jorge Director 421 Lake Point South lane, DEERFIELD BEACH, FL, 33442
GREEN MATTHEW Director 2583 TIMBERCREEK CIRCLE, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
EVENT CONVERTED TO NOTES 1991-12-02 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State