| Entity Name: | PRIME MEDICAL REHAB CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Mar 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 27 Sep 2007 (17 years ago) |
| Document Number: | P02000032373 |
| FEI/EIN Number | 043630982 |
| Address: | 2331 N. STATE ROAD 7, STE. 118, LAUDERHILL, FL, 33313 |
| Mail Address: | 2331 N. STATE ROAD 7, STE. 118, LAUDERHILL, FL, 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730240318 | 2006-12-13 | 2020-08-22 | 2331 N STATE ROAD 7, SUITE 118, LAUDERDALE LAKES, FL, 333133748, US | 2331 N STATE ROAD 7, SUITE 118, LAUDERDALE LAKES, FL, 333133748, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-535-7676 |
| Fax | 9545352909 |
Authorized person
| Name | MR. CYRIL PHILIP CHORATH |
| Role | ADMINISTRATOR |
| Phone | 9545357676 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME34371 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 17717 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| License Number | PTA16340 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | CLINIC LICENSE |
| Number | HCC4364 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHORATH CYRIL | Agent | 2331 N. STATE ROAD 7, STE. 118, LAUDERHILL, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| CHORATH CYRIL | President | 2331 N. STATE RD 7,, LAUDERHILL, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2013-09-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-05 | 2331 N. STATE ROAD 7, STE. 118, LAUDERHILL, FL 33313 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-05-09 | CHORATH, CYRIL | No data |
| CANCEL ADM DISS/REV | 2007-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT | 2002-10-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-09 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
