| Entity Name: | INNOVATIVE REHAB AND WELLNESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Mar 2004 (21 years ago) |
| Document Number: | P04000039527 |
| FEI/EIN Number | 134275172 |
| Address: | 575 SARINA TERRACE SW, VERO BEACH, FL, 32968 |
| Mail Address: | 575 SARINA TERRACE SW, VERO BEACH, FL, 32968 |
| ZIP code: | 32968 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063583516 | 2006-11-13 | 2012-05-30 | 575 SARINA TER SW, VERO BEACH, FL, 329684042, US | 575 SARINA TER SW, VERO BEACH, FL, 329684042, US | |||||||||||||||||||||||||
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| Phone | +1 772-696-4883 |
Authorized person
| Name | TAVI MCLEOD |
| Role | VP |
| Phone | 7726964883 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT0016300 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT9096 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MCLEOD GRANT L | Agent | 575 SARINA TERRACE SW, VERO BEACH, FL, 32968 |
| Name | Role | Address |
|---|---|---|
| MCLEOD GRANT L | President | 575 SARINA TERRACE SW, VERO BEACH, FL, 32968 |
| Name | Role | Address |
|---|---|---|
| MCLEOD TAVI A | Vice President | 575 SARINA TERRACE SW, VERO BEACH, FL, 32968 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-24 | 575 SARINA TERRACE SW, VERO BEACH, FL 32968 | No data |
| CHANGE OF MAILING ADDRESS | 2005-03-24 | 575 SARINA TERRACE SW, VERO BEACH, FL 32968 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-24 | 575 SARINA TERRACE SW, VERO BEACH, FL 32968 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-07 |
| ANNUAL REPORT | 2019-02-23 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-28 |
| ANNUAL REPORT | 2016-01-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3265388608 | 2021-03-16 | 0455 | PPP | 575 Sarina Ter SW, Vero Beach, FL, 32968-4042 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
