| Entity Name: | HEALTHMED REHAB CENTERS OF AMERICA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Dec 2001 (23 years ago) |
| Document Number: | P01000120618 |
| FEI/EIN Number | 010569629 |
| Address: | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 33351, US |
| Mail Address: | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 33351, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326041088 | 2005-05-24 | 2020-08-22 | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 333514513, US | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 333514513, US | |||||||||||||||||||||||||
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| Phone | +1 954-572-1000 |
| Fax | 9545729200 |
Authorized person
| Name | MS. ROBIN WALKER |
| Role | PHYSICAL THERAPY DIRECTOR |
| Phone | 9545721000 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | 684815 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CORF |
| Number | 684815 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEAH RODAS | Agent | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| BERG KENNETH | President | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| RODAS LEAH | Vice President | 4486 N UNIVERSITY DR, LAUDERHILL, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
