| Entity Name: | BAYVIEW MEDICAL & REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jan 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Oct 2019 (5 years ago) |
| Document Number: | P04000020656 |
| FEI/EIN Number | 731690817 |
| Address: | 100 West Main St., Lakeland, FL, 33815-1552, US |
| Mail Address: | P.O. BOX 15176, TAMPA, FL, 33684, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811200587 | 2010-07-22 | 2022-07-21 | 2123 W. MARTIN LUTHER KING JR. BLVD, SUITE 103, TAMPA, FL, 336076545, US | 2123 MARTIN LUTHER KING JR BLVD, 103, TAMPA, FL, 33607, US | |||||||||||||||||
|
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| Phone | +1 813-873-1361 |
| Fax | 8138731325 |
Authorized person
| Name | ELIZABETH SALIVA |
| Role | PRESIDENT |
| Phone | 8138731361 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALVIA ELIZABETH | Agent | 3213 S MANHATTAN AVE, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| Salvia Elizabeth | President | 3213 S MANHATTAN AVE, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-27 | 3213 S MANHATTAN AVE, TAMPA, FL 33629 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-30 | 100 West Main St., Lakeland, FL 33815-1552 | No data |
| AMENDMENT | 2019-10-10 | No data | No data |
| REINSTATEMENT | 2006-09-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| CANCEL ADM DISS/REV | 2005-11-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J08900015341 | LAPSED | 08-06916-I | HILLSBOROUGH CTY CRT CIV DIV | 2008-08-04 | 2013-08-28 | $6676.65 | CLINICAL HEALTH SERVICES, INC., P.O. BOX 151375, TAMPA, FL 33684 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-18 |
| Amendment | 2019-10-10 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
