| Entity Name: | FLORIDA REHAB AND PAIN CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Apr 2002 (23 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P02000042234 |
| FEI/EIN Number | 043664536 |
| Mail Address: | PO BOX 2685, FORT MYERS, FL, 33902 |
| Address: | 2665 CLEVELAND AVE., SUITE 207, FORT MEYERS, FL, 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578516787 | 2006-05-18 | 2020-08-22 | PO BOX 2685, FORT MYERS, FL, 339022685, US | 2665 CLEVELAND AVE, SUITE 207, FORT MYERS, FL, 339015850, US | |||||||||||||||||||
|
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| Phone | +1 239-334-0717 |
| Fax | 2393344271 |
Authorized person
| Name | MR. DIEGO DIAZ SAUSA JR. |
| Role | PRESIDENT |
| Phone | 2398501891 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 7037 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAUSA DIEGO J | Agent | 12650 ALLENDALE CIR, FORT MYERS, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| SAUSA DIEGO J | DPCT | PO BOX 2685, FORT MYERS, FL, 33902 |
| Name | Role | Address |
|---|---|---|
| SAUSA DON ARIEL E | Director | 690029 DANIELS PKWY STE 147, FORT MYERS, FL, 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2003-04-21 | 2665 CLEVELAND AVE., SUITE 207, FORT MEYERS, FL 33901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-04-21 | 12650 ALLENDALE CIR, FORT MYERS, FL 33912 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-30 |
| ANNUAL REPORT | 2004-04-26 |
| ANNUAL REPORT | 2003-04-21 |
| Domestic Profit | 2002-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
