| Entity Name: | REALHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Mar 2000 (25 years ago) |
| Document Number: | P00000025058 |
| FEI/EIN Number | 593630708 |
| Address: | 12159 US Hwy. 301 N, Parrish, FL, 34219, US |
| Mail Address: | 14400 LEE ROAD, WIMAUMA, FL, 33598, US |
| ZIP code: | 34219 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710912373 | 2006-07-12 | 2023-12-13 | 14400 LEE RD, WIMAUMA, FL, 335987400, US | 12159 US HIGHWAY 301 N, PARRISH, FL, 342198678, US | |||||||||||||||||||||||||||||||
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| Phone | +1 941-776-1290 |
| Fax | 9417762528 |
| Phone | +1 941-776-5585 |
| Fax | 9417765655 |
Authorized person
| Name | MR. MICHAEL T REED |
| Role | EXECUTIVE VICE PRESIDENT |
| Phone | 9417765585 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TRICARE |
| Number | 202642733 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y90T6 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REED GAYLE W | Agent | 14400 LEE ROAD, WIMAUMA, FL, 33598 |
| Name | Role | Address |
|---|---|---|
| REED GAYLE W | President | 14400 LEE ROAD, WIMAUMA, FL, 33598 |
| Name | Role | Address |
|---|---|---|
| REED M. TODD | Vice President | 14400 LEE ROAD, WIMAUMA, FL, 33598 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-19 | 12159 US Hwy. 301 N, Parrish, FL 34219 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000005330 | TERMINATED | 1000000766766 | HILLSBOROU | 2017-12-27 | 2028-01-03 | $ 1,379.21 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E ML KING BLVD STE 100, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-26 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
