| Entity Name: | INNOVATIVE REHAB CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Aug 2000 (24 years ago) |
| Document Number: | P00000077617 |
| FEI/EIN Number | 593666825 |
| Address: | 2286-1 WEDNESDAY ST, TALLAHASSEE, FL, 32308 |
| Mail Address: | 2286-1 WEDNESDAY ST, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982707584 | 2006-09-07 | 2020-08-22 | 2286-1 WEDNESDAY STREET, INNOVATIVE REHAB CARE, TALLAHASSEE, FL, 32308, US | 2286-1 WEDNESDAY STREET, INNOVATIVE REHAB CARE, TALLAHASSEE, FL, 32308, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-219-7826 |
| Fax | 8503831322 |
Authorized person
| Name | MR. ROBERT G LISSON |
| Role | OWNER OCCUPATIONAL THERAPIST |
| Phone | 8502197826 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | OT8395 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | OT8395 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT8395 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | OT8395 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BUTLER NEIL H | Agent | 2708 O'HARA COURT, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| LETCHWORTH CHUCK | President | 3976 PINTA CT., TALLAHASSEE, FL, 32303 |
| Name | Role | Address |
|---|---|---|
| WARREN EARL L | Vice President | 2420 MONACO DRIVE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| LISSON ROBERT | Secretary | 3980 BREEZER COURT, TALLAHASSEE, FL, 32303 |
| Name | Role | Address |
|---|---|---|
| LISSON ROBERT | Treasurer | 3980 BREEZER COURT, TALLAHASSEE, FL, 32303 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| NAME CHANGE AMENDMENT | 2002-11-25 | INNOVATIVE REHAB CARE, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
