| Entity Name: | BROOKS REHABILITATION CLINICAL RESEARCH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 22 Mar 2011 (14 years ago) |
| Document Number: | N11000002914 |
| FEI/EIN Number | 452094888 |
| Address: | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Mail Address: | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013348424 | 2013-12-11 | 2024-09-20 | 3599 UNIVERSITY BLVD S, MANAGED CARE, JACKSONVILLE, FL, 322164252, US | 3901 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164312, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 904-345-7607 |
| Fax | 9043457284 |
| Phone | +1 904-345-8973 |
| Fax | 9043427284 |
Authorized person
| Name | KELLI CAMERON |
| Role | DIRECTOR OF MANAGED CARE |
| Phone | 9043457158 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| URS AGENTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BAER DOUGLAS M | Chairman | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| Serkin Howard C | Director | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Tabor J. B | Director | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Mann Eric | Director | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| PARIS TREVOR | Vice President | 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000066716 | BROOKS REHABILITATION CLINICAL RESEARCH CENTER | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| G23000066717 | BROOKS REHABILITATION CLINICAL RESEARCH CENTER | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-08-19 | URS AGENTS, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-08-19 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-03-22 |
| Reg. Agent Change | 2020-08-19 |
| AMENDED ANNUAL REPORT | 2020-07-01 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-24 |
| Reg. Agent Change | 2018-02-07 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | 36C24820P1406 | 2020-06-23 | 2022-06-22 | 2022-06-22 | |||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
| Obligated Amount | 6290.49 |
| Current Award Amount | 6290.49 |
| Potential Award Amount | 6290.49 |
Description
| Title | BRRC POST-STROKE STUDY #B3336-P |
| NAICS Code | 622310: SPECIALTY (EXCEPT PSYCHIATRIC AND SUBSTANCE ABUSE) HOSPITALS |
| Product and Service Codes | AJ76: R&D- GENERAL SCIENCE/TECHNOLOGY: SOCIAL SCIENCES (MANAGEMENT/SUPPORT) |
Recipient Details
| Recipient | BROOKS REHABILITATION CLINICAL RESEARCH CENTER |
| UEI | G1TLJZNRZ8S3 |
| Recipient Address | UNITED STATES, 3599 UNIVERSITY BLVD S STE 1, JACKSONVILLE, DUVAL, FLORIDA, 322164259 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
