| Entity Name: | RAJ PHYSICAL REHABILITATION CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 May 2003 (22 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P03000052140 |
| FEI/EIN Number | 760734546 |
| Address: | 35 meadows park ln, boynton beach, FL, 33436, US |
| Mail Address: | 35 meadows park ln, boynton beach, FL, 33436, US |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871580191 | 2005-10-03 | 2011-01-20 | 6200 W ATLANTIC AVE, #201, DELRAY BEACH, FL, 334843501, US | 6200 W ATLANTIC AVE, #201, DELRAY BEACH, FL, 334843501, US | |||||||||||||||||||||||||||
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| Phone | +1 561-499-3041 |
| Fax | 5614993042 |
Authorized person
| Name | NAGARAJA TIRUVALAM |
| Role | PRESIDENT |
| Phone | 5614993041 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y923C |
| State | FL |
| Issuer | GHI |
| Number | 6697451 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TIRUVALAM NAGARAJA R | Agent | 6200 W ATLANTIC AVE, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| TIRUVALAM NAGARAJA R | President | 6200 W ATLANTIC AVE SUITE # 201, DELRAY BEACH, FL, 33484 |
| THANISETTY RAMANI B | President | 35 MEADOWS PARK LANE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| THANISETTY RAMANI B | Vice President | 35 MEADOWS PARK LANE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| THANISETTY RAMANI B | Secretary | 35 MEADOWS PARK LANE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| THANISETTY RAMANI B | Treasurer | 35 MEADOWS PARK LANE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| TIRUVALAM NAGARAJA R | Director | 6200 W ATLANTIC AVE SUITE # 201, DELRAY BEACH, FL, 33484 |
| THANISETTY RAMANI B | Director | 35 MEADOWS PARK LANE, BOYNTON BEACH, FL, 33436 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04161700122 | RAJ REHAB | EXPIRED | 2004-06-09 | 2024-12-31 | No data | 6200 W. ATLANTIC AVE. #201, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-09 | 35 meadows park ln, boynton beach, FL 33436 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-09 | 35 meadows park ln, boynton beach, FL 33436 | No data |
| AMENDMENT | 2021-07-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-07 | 6200 W ATLANTIC AVE, SUITE # 201, DELRAY BEACH, FL 33484 | No data |
| AMENDMENT | 2003-07-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-10 |
| Amendment | 2021-07-26 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-03-25 |
| ANNUAL REPORT | 2014-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
