| Entity Name: | PAM REHABILITATION HOSPITAL OF TAVARES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jun 2021 (4 years ago) |
| Document Number: | M21000006860 |
| FEI/EIN Number | 87-1708365 |
| Address: | 1828 GOOD HOPE ROAD STE 102, ENOLA, PA, 17025, US |
| Mail Address: | 1828 GOOD HOPE ROAD STE 102, ENOLA, PA, 17025, US |
| Place of Formation: | PENNSYLVANIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730809419 | 2022-09-01 | 2022-11-08 | 1828 GOOD HOPE RD STE 102, ENOLA, PA, 170251203, US | 1730 MAYO DR, TAVARES, FL, 327784308, US | |||||||||||||
|
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| Phone | +1 561-532-3111 |
Authorized person
| Name | ANTHONY MISITANO |
| Role | PRESIDENT |
| Phone | 7177319660 |
Taxonomy
| Taxonomy Code | 283X00000X - Rehabilitation Hospital |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| MISITANO ANTHONY | Manager | 1828 GOOD HOPE ROAD, ENOLA, PA, 17025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000098364 | PAM HEALTH REHABILITATION HOSPITAL OF WINTER GARDEN | ACTIVE | 2024-08-19 | 2029-12-31 | No data | 1828 GOOD HOPE ROAD, ENOLA, PA, 17025 |
| G24000035992 | PAM HEALTH REHABILITATION HOSPITAL OF ORANGE CITY | ACTIVE | 2024-03-11 | 2029-12-31 | No data | 1828 GOOD HOPE ROAD, ENOLA, PA, 17025 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-07 |
| Foreign Limited | 2021-06-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
