| Entity Name: | ALL PHYSICAL MEDICINE & REHABILITATION, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Oct 2004 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2010 (14 years ago) |
| Document Number: | P04000145827 |
| FEI/EIN Number | 223608011 |
| Address: | 6801 NW 9 TH BVLD, SUITE 4, GAINESVILLE, FL, 32605 |
| Mail Address: | PO BOX 358492, GAINESVILLE, FL, 32635-8492, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609062082 | 2007-09-19 | 2009-05-26 | PO BOX 358492, GAINESVILLE, FL, 326358492, US | 6801 NW 9TH BLVD, SUITE # 4, GAINESVILLE, FL, 326054269, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-367-3422 |
| Fax | 3523797707 |
Authorized person
| Name | DR. YOUSSEF W. WASSEF |
| Role | MEDICAL DIRECTOR |
| Phone | 3523673422 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | ME 70490 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 51651Z |
| State | FL |
| Issuer | MEDICAID |
| Number | 267792000 |
| State | FL |
| Issuer | BC/BS ID |
| Number | 51651 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WASSEF YOUSSEF Dr. | Agent | 6801 NW 9 TH BVLD, GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| WASSEF YOUSSEF Dr. | Director | 6801 NW 9 TH BVLD, GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| YOUNATHAN INAS | Secretary | 6801 NW 9 TH BVLD, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-03-08 | WASSEF, YOUSSEF, Dr. | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-25 | 6801 NW 9 TH BVLD, SUITE 4, GAINESVILLE, FL 32605 | No data |
| REINSTATEMENT | 2010-11-08 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-11-08 | 6801 NW 9 TH BVLD, STE 4, GAINESVILLE, FL 32605 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-27 | 6801 NW 9 TH BVLD, SUITE 4, GAINESVILLE, FL 32605 | No data |
| CANCEL ADM DISS/REV | 2008-05-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-08-31 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
