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INTEGRACARE REHABILITATION AGENCY, INC.

Company Details

Entity Name: INTEGRACARE REHABILITATION AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 22 Jan 2003 (22 years ago)
Date of dissolution: 06 Feb 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Feb 2017 (8 years ago)
Document Number: P03000007857
FEI/EIN Number 59-3764477
Address: 200 Knuth Road, Suite 236, Boynton Beach, FL 33436
Mail Address: 200 Knuth Road, Suite 236, Boynton Beach, FL 33436
ZIP code: 33436
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013983535 2006-02-24 2009-11-16 525 SE 6TH AVE, STE B, DELRAY BEACH, FL, 334835258, US 1801 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334421442, US

Contacts

Phone +1 561-330-8451
Fax 5613308461
Phone +1 954-531-1472
Fax 9545311473

Authorized person

Name DANA PUSATERI
Role ADMINISTRATOR
Phone 5613308451

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
MOSKOWITZ, MICHAEL W Agent 800 CORPORATE DRIVE,SUITE 500, FORT LAUDERDALE, FL 33334

Director

Name Role Address
COLLISTER, B.J. Director 200 Knuth Road, Suite 236 Boynton Beach, FL 33436

Vice President

Name Role Address
COLLISTER, B.J. Vice President 200 Knuth Road, Suite 236 Boynton Beach, FL 33436

Treasurer

Name Role Address
COLLISTER, B.J. Treasurer 200 Knuth Road, Suite 236 Boynton Beach, FL 33436

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-02-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-02-02 200 Knuth Road, Suite 236, Boynton Beach, FL 33436 No data
CHANGE OF MAILING ADDRESS 2016-02-02 200 Knuth Road, Suite 236, Boynton Beach, FL 33436 No data
AMENDMENT 2014-08-25 No data No data

Documents

Name Date
Off/Dir Resignation 2017-01-30
Reg. Agent Resignation 2016-12-20
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-03-02
Amendment 2014-08-25
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-25
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-01-05
ANNUAL REPORT 2010-04-30

Date of last update: 06 Jan 2025

Sources: Florida Department of State