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PRIME QUALITY REHAB, INC.

Company Details

Entity Name: PRIME QUALITY REHAB, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 May 2001 (24 years ago)
Document Number: P01000048917
FEI/EIN Number 651111299
Address: 16040 EAST TROON CIRCLE, MIAMI LAKES, FL, 33014, US
Mail Address: 16040 EAST TROON CIRCLE, MIAMI LAKES, FL, 33014, US
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295817344 2006-10-19 2007-09-05 1840 W 49TH ST, SUITE 304, HIALEAH, FL, 330122942, US 1840 W 49TH ST, SUITE 304, HIALEAH, FL, 330122942, US

Contacts

Phone +1 305-828-7799
Fax 3058287399

Authorized person

Name MR. LUIS G. PAINCHAULT
Role VICE-PRESIDENT
Phone 3058287799

Taxonomy

Taxonomy Code 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
State FL
Is Primary Yes

Agent

Name Role Address
SOTTER YOLANDA Agent 16040 E. TROON CIRCLE, HIALEAH, FL, 33014

President

Name Role Address
SOTTER YOLANDA M President 16040 EAST TROON CIRCLE, MIAMI LAKES, FL, 33014

Treasurer

Name Role Address
SOTTER YOLANDA M Treasurer 16040 EAST TROON CIRCLE, MIAMI LAKES, FL, 33014

Vice President

Name Role Address
PAINCHAULT LUIS G Vice President 16040 EAST TROON CIRCLE, PEMBROKE PINES, FL, 33014

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State