| Entity Name: | ADVANCE MEDICAL ASSOCIATES AND FORME REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Sep 2003 (21 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P03000095955 |
| FEI/EIN Number | 542125753 |
| Address: | 8333 West McNab Road, Tamarac, FL, 33321, US |
| Mail Address: | 8333 N.W. 14th Court, Coral Springs, FL, 33071, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508803396 | 2006-06-01 | 2008-01-07 | 7000 W OAKLAND PARK BLVD, SUITE 202, SUNRISE, FL, 333131016, US | 7000 W OAKLAND PARK BLVD, SUITE 202, SUNRISE, FL, 333131016, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-572-1099 |
| Fax | 9545724409 |
Authorized person
| Name | DR. LINDA D VARISCO |
| Role | OWNER |
| Phone | 9545721099 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | HCCR3538 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VARISCO LINDA D | Agent | 8333 N.W. 14th Court, Coral Springs, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| VARISCO LINDA | President | 8333 West McNab Road, Tamarac, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-28 | 8333 West McNab Road, Suite 128, Tamarac, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-28 | 8333 West McNab Road, Suite 128, Tamarac, FL 33321 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-28 | 8333 N.W. 14th Court, Coral Springs, FL 33071 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-23 | VARISCO, LINDA D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-02-01 |
| ANNUAL REPORT | 2012-03-07 |
| ANNUAL REPORT | 2011-03-23 |
| ANNUAL REPORT | 2010-03-03 |
| ANNUAL REPORT | 2009-02-12 |
| ANNUAL REPORT | 2008-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
