| Entity Name: | SPECIFIC REHAB. SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Mar 2004 (21 years ago) |
| Document Number: | P04000051994 |
| FEI/EIN Number | 800104933 |
| Address: | 1435 WEST 49th PLACE, Hialeah, FL, 33012, US |
| Mail Address: | 1435 WEST 49th PLACE, Hialeah, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689121089 | 2016-09-02 | 2019-09-12 | 1435 W 49TH PL STE 301, HIALEAH, FL, 330123147, US | 1435 W 49TH PL STE 301, HIALEAH, FL, 330123147, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 305-392-1216 |
| Fax | 3055135130 |
Authorized person
| Name | CANDELARIA PATERNINA |
| Role | PRESIDENT |
| Phone | 7865066760 |
Taxonomy
| Taxonomy Code | 225XP0019X - Physical Rehabilitation Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA EXEMPTION |
| Number | HCC4406 |
| State | FL |
| Name | Role |
|---|---|
| LEONCIO & ASSOCIATES, LLC. | Agent |
| Name | Role | Address |
|---|---|---|
| CAPDEVILA EVELYN | President | 1435 WEST 49th PLACE, Hialeah, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | LEONCIO & ASSOCIATES LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 14331 COMMERCE WAY, MIAMI LAKES, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-13 | 1435 WEST 49th PLACE, SUITE 301, Hialeah, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-13 | 1435 WEST 49th PLACE, SUITE 301, Hialeah, FL 33012 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| AMENDED ANNUAL REPORT | 2022-11-28 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-13 |
| AMENDED ANNUAL REPORT | 2019-09-16 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
