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PRIME MOVERS REHAB, INC.

Company Details

Entity Name: PRIME MOVERS REHAB, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Jul 2003 (22 years ago)
Date of dissolution: 15 Sep 2006 (18 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 15 Sep 2006 (18 years ago)
Document Number: P03000075820
FEI/EIN Number 412102597
Address: 919 PINEWALK COURT NE, PALM BAY, FL, 32905
Mail Address: 919 PINEWALK COURT NE, PALM BAY, FL, 32905
ZIP code: 32905
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114127511 2007-07-23 2007-07-23 919 PINE WALK CT NE, PALM BAY, FL, 329054450, US 1091 PORT MALABAR BLVD NE STE 2, PALM BAY, FL, 329055100, US

Contacts

Phone +1 321-674-9659
Fax 3216749660
Fax 3216749659

Authorized person

Name MRS. LOVENA SUSON-AGANON
Role PRESIDENT / CLINICAL DIRECTOR
Phone 3216749659

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number 9288
State FL
Is Primary Yes

Agent

Name Role Address
AGANON LOVENA Agent 919 PINEWALK COURT NE, PALM BAY, FL, 32905

Director

Name Role Address
AGANON LOVENA Director 919 PINEWALK COURT NE, PALM BAY, FL, 32905

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2005-06-03
ANNUAL REPORT 2004-08-17
Domestic Profit 2003-07-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State