| Entity Name: | FIGUEROA & COLINA REHABILITATION SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Dec 2000 (24 years ago) |
| Document Number: | P00000113853 |
| FEI/EIN Number | 651061861 |
| Address: | 900 E. OCEAN BLVD, 244, STUART, FL, 34994 |
| Mail Address: | 900 E. OCEAN BLVD, 244, STUART, FL, 34994 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548324221 | 2006-12-20 | 2008-03-20 | 900 SE OCEAN BLVD, SUITE 244 BLDG E, STUART, FL, 349942471, US | 900 SE OCEAN BLVD, SUITE 244 BLDG E, STUART, FL, 349942471, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 772-223-4563 |
| Fax | 7722234567 |
Authorized person
| Name | MR. FERNANDO FIGUEROA |
| Role | PRESIDENT |
| Phone | 7722234563 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT9798 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT6978 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y 908Q |
| Name | Role | Address |
|---|---|---|
| FIGUEROA FERNANDO | Agent | 2914 SE DALHART ROAD, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA FERNANDO | President | 2914 SE DALHART ROAD, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA FERNANDO | Secretary | 2914 SE DALHART ROAD, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA FERNANDO | Director | 2914 SE DALHART ROAD, PORT ST LUCIE, FL, 34952 |
| COLINA-CORREA ANA | Director | 6135 SE WINDSONG LANE, STUART, FL, 34997 |
| Name | Role | Address |
|---|---|---|
| COLINA-CORREA ANA | Vice President | 6135 SE WINDSONG LANE, STUART, FL, 34997 |
| Name | Role | Address |
|---|---|---|
| COLINA-CORREA ANA | Treasurer | 6135 SE WINDSONG LANE, STUART, FL, 34997 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
