| Entity Name: | JETHWANI REHABILITATION GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Mar 2002 (23 years ago) |
| Document Number: | P02000034278 |
| FEI/EIN Number | 300079527 |
| Address: | 4071 SW 51ST RD, Ocala, FL, 34474, US |
| Mail Address: | P.O. BOX--4949, OCALA, FL, 34478 |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548414857 | 2008-11-13 | 2008-11-13 | 310 SE 29TH PL STE 200, OCALA, FL, 344710486, US | 310 SE 29TH PL STE 200, OCALA, FL, 344710486, US | |||||||||||||||||||||||||
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| Phone | +1 352-732-4006 |
| Fax | 3527325006 |
Authorized person
| Name | MEENU JETHWANI |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 3527324006 |
Taxonomy
| Taxonomy Code | 172V00000X - Community Health Worker |
| License Number | OT4799 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 887854400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JETHWANI MEENU | Agent | 4071 SW 51 ST ROAD, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| JETHWANI MEENU | Director | P.O.BOX-4949, OCALA, FL, 34478 |
| Name | Role | Address |
|---|---|---|
| JETHWANI ANIL | Vice President | P.O. BOX--4949, OCALA, FL, 34478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
