| Entity Name: | QUALITY PERFORMANCE REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Apr 2001 (24 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P01000037263 |
| FEI/EIN Number | 651098129 |
| Address: | 441 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 34983 |
| Mail Address: | 441 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 34983 |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316071103 | 2007-03-15 | 2012-10-09 | 441 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL, 34983, US | 441 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL, 34983, US | |||||||||||||||||||||||||||||
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| Phone | +1 772-873-8980 |
| Fax | 7728738981 |
Authorized person
| Name | MR. THOMAS RAYMOND FISCHER |
| Role | V.P., OWNER |
| Phone | 7728738980 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP |
| Number | Y917Z |
| State | FL |
| Issuer | MEDICAID |
| Number | 889016100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FARRELL RICKEY L | Agent | 1595 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| NEVEUX PATRICK | Director | 441 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 34983 |
| FISCHER THOMAS R | Director | 441 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 34983 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-27 | 441 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-27 | 441 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-02-22 |
| ANNUAL REPORT | 2014-02-15 |
| ANNUAL REPORT | 2013-02-03 |
| ANNUAL REPORT | 2012-01-08 |
| ANNUAL REPORT | 2011-03-22 |
| ANNUAL REPORT | 2010-05-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
