Entity Name: | PREMIER WELLNESS & REHAB, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 16 Jan 2001 (24 years ago) |
Date of dissolution: | 01 Oct 2004 (20 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 01 Oct 2004 (20 years ago) |
Document Number: | P01000006647 |
FEI/EIN Number | 651066703 |
Address: | 1099 THE POINTE DR, BLDG 7, WEST PALM BEACH, FL, 33409 |
Mail Address: | 1099 THE POINTE DR, WEST PALM BEACH, FL, 33409 |
ZIP code: | 33409 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386610541 | 2006-02-27 | 2020-08-22 | 800 131TERRACE, LOXAHATCHEE, FL, 33470, US | 800 131TERRACE, LOXAHATCHEE, FL, 33470, US | |||||||||||||||||||
|
Phone | +1 561-758-5817 |
Fax | 5617921961 |
Authorized person
Name | MR. PETER DE VLEESCHAUWER |
Role | OWNER |
Phone | 5617585817 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
License Number | PT0011417 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
VLEESCHAUWER PETER DE | Agent | 1099 THE POINTE DR, BLDG 7, WEST PALM BEACH, FL, 33409 |
Name | Role | Address |
---|---|---|
VLEESCHAUWER PETER DE | Director | 1099 THE POINTE DR, BLDG 7, WEST PALM BEACH, FL, 33409 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
CHANGE OF MAILING ADDRESS | 2002-09-16 | 1099 THE POINTE DR, BLDG 7, WEST PALM BEACH, FL 33409 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2003-03-27 |
ANNUAL REPORT | 2002-09-16 |
Domestic Profit | 2001-01-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State