| Entity Name: | CRESTVIEW OUTPATIENT REHAB FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Dec 2001 (23 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P01000117126 |
| FEI/EIN Number | 651158120 |
| Address: | 5775 W SUNRISE BLVD, PLANTATION, FL, 33313 |
| Mail Address: | 5775 W SUNRISE BLVD, PLANTATION, FL, 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306061213 | 2007-04-16 | 2020-08-22 | 5775 W SUNRISE BLVD, PLANTATION, FL, 333136269, US | 5775 W SUNRISE BLVD, PLANTATION, FL, 333136269, US | |||||||||||||
|
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| Phone | +1 954-327-9700 |
Authorized person
| Name | MRS. JOANNE A SEALY-BAYOH |
| Role | ADMINISTRATOR |
| Phone | 9543279700 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEALY JOANNE A | Agent | 5775 WEST SUNRISE BLVD, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| SEALY JOANNE A | Director | 5775 W SUNRISE BLVD, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| SEALY JOANNE A | Secretary | 5775 W SUNRISE BLVD, PLANTATION, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-17 | SEALY, JOANNE A | No data |
| CHANGE OF MAILING ADDRESS | 2004-02-17 | 5775 W SUNRISE BLVD, PLANTATION, FL 33313 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-17 | 5775 WEST SUNRISE BLVD, PLANTATION, FL 33313 | No data |
| NAME CHANGE AMENDMENT | 2001-12-13 | CRESTVIEW OUTPATIENT REHAB FACILITY, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-08-31 |
| ANNUAL REPORT | 2008-07-15 |
| ANNUAL REPORT | 2007-04-17 |
| ANNUAL REPORT | 2006-05-16 |
| ANNUAL REPORT | 2005-05-07 |
| ANNUAL REPORT | 2004-02-17 |
| ANNUAL REPORT | 2003-05-05 |
| ANNUAL REPORT | 2002-05-10 |
| Name Change | 2001-12-13 |
| Domestic Profit | 2001-12-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
