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HILLSBORO PAIN & REHAB CENTER, INC.

Company Details

Entity Name: HILLSBORO PAIN & REHAB CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 22 Jul 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 07 Dec 2012 (12 years ago)
Document Number: P04000108502
FEI/EIN Number 03-0544517
Address: 5458 TOWN CENTER RD STE 104, BOCA RATON, FL 33486
Mail Address: 5458 TOWN CENTER RD STE 104, BOCA RATON, FL 33486
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962599902 2006-10-10 2020-08-22 2247 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334421106, US 2247 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334421106, US

Contacts

Phone +1 954-428-2729
Fax 9544282794

Authorized person

Name WILLIAM FREDERICK VANDERBROOK
Role PRESIDENT
Phone 9544282729

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8063
State FL
Is Primary Yes

Agent

Name Role
SOUTH FLORIDA TAX, INC. Agent

President

Name Role Address
VANDERBROOK, WILLIAM President 5458 TOWN CENTER RD STE 104, BOCA RATON, FL 33486

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000001447 PALM CHIROPRACTIC & REHABILITATION EXPIRED 2013-01-04 2018-12-31 No data 2247 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442
G11000049181 PAIN & REHAB CENTERS OF SOUTH FLORIDA EXPIRED 2011-05-24 2016-12-31 No data 2247 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-05-01 5458 TOWN CENTER RD STE 104, BOCA RATON, FL 33486 No data
REGISTERED AGENT NAME CHANGED 2017-04-04 SOUTH FLORIDA TAX No data
CHANGE OF PRINCIPAL ADDRESS 2014-08-21 5458 TOWN CENTER RD STE 104, BOCA RATON, FL 33486 No data
AMENDMENT 2012-12-07 No data No data
REINSTATEMENT 2012-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CANCEL ADM DISS/REV 2010-01-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-18
ANNUAL REPORT 2020-03-29
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-03-21

Date of last update: 29 Jan 2025

Sources: Florida Department of State