Entity Name: | DYNAMIC REHAB CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 26 Jul 2000 (25 years ago) |
Date of dissolution: | 14 Sep 2007 (17 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 14 Sep 2007 (17 years ago) |
Document Number: | P00000072371 |
FEI/EIN Number | 593663764 |
Address: | 10512 NORTHCLIFFE BLVD, SPRING HILL, FL, 34608 |
Mail Address: | 4886 KEYSVILLE AVE, SPRING HILL, FL, 34608 |
ZIP code: | 34608 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972705465 | 2007-06-05 | 2020-08-22 | 10512 NORTHCLIFFE BLVD, SPRING HILL, FL, 346083766, US | 10512 NORTHCLIFFE BLVD, SPRING HILL, FL, 346083766, US | |||||||||||||||||||
|
Phone | +1 352-688-3636 |
Fax | 3526881333 |
Authorized person
Name | KERRY FITZGERALD |
Role | OWNER |
Phone | 3526883636 |
Taxonomy
Taxonomy Code | 251T00000X - PACE Provider Organization |
License Number | PTA15331 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FITZGERALD KERRY A | Agent | 4886 KEYSVILLE AVENUE, SPRING HILL, FL, 34608 |
Name | Role | Address |
---|---|---|
FITZGERALD KERRY | President | 4886 KEYSVILLE AVENUE, SPRING HILL, FL, 34608 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
REINSTATEMENT | 2006-10-12 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
REINSTATEMENT | 2005-02-21 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2005-02-21 | 10512 NORTHCLIFFE BLVD, SPRING HILL, FL 34608 | No data |
CHANGE OF MAILING ADDRESS | 2005-02-21 | 10512 NORTHCLIFFE BLVD, SPRING HILL, FL 34608 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2006-10-12 |
REINSTATEMENT | 2005-02-21 |
Domestic Profit | 2000-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State