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MEDICAL REHAB PRO LLC

Company Details

Entity Name: MEDICAL REHAB PRO LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 05 Oct 2023 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Nov 2023 (a year ago)
Document Number: M23000012833
FEI/EIN Number N/A
Address: 700 S. ROSEMARY AVE., STE. 204, WEST PALM BEACH, FL 33401
Mail Address: 700 S. ROSEMARY AVE., STE. 204, WEST PALM BEACH, FL 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558144782 2023-08-14 2023-08-14 410 EVERNIA ST APT 511, WEST PALM BEACH, FL, 334015436, US 901 45TH STREET, REHAB ADMIN, WEST PALM BEACH, FL, 33407, US

Contacts

Phone +1 917-751-4262
Fax 7722238938
Phone +1 855-850-7032

Authorized person

Name MS. DIANE ANTIONETTE THOMPSON
Role OWNER/PHYSICIAN
Phone 9177514262

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role
PARACORP INCORPORATED Agent

Manager

Name Role Address
THOMPSON, DIANE A, DR. Manager 700 S. ROSEMARY AVE., STE. 204, WEST PALM BEACH, FL 33401

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-11-30 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-16
LC Amendment 2023-11-30
Foreign Limited 2023-10-05

Date of last update: 09 Feb 2025

Sources: Florida Department of State