| Entity Name: | PREVENTATIVE AND MEDICAL REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Nov 2004 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 27 Sep 2006 (18 years ago) |
| Document Number: | P04000153843 |
| FEI/EIN Number | 201876171 |
| Address: | 34921 US 19N, Palm Harbor, FL, 34684, US |
| Mail Address: | PO BOX 1252, TARPON SPRINGS, FL, 34688 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598711608 | 2006-05-26 | 2020-08-22 | 4900 US HIGHWAY 19, NEW PORT RICHEY, FL, 346524251, US | 4900 US HIGHWAY 19, NEW PORT RICHEY, FL, 346524251, US | |||||||||||||||
|
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| Phone | +1 727-992-1696 |
| Fax | 7278469906 |
Authorized person
| Name | MRS. CONNIE JO AZIROVIC |
| Role | DIRECTOR/VICE PRESIDENT |
| Phone | 7279921696 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUSSO CONNIE JO | Agent | 2138 Chianti Pl, Palm Harbor, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| RUSSO CONNIE J | President | P.o. Box 1252, TARPON SPRINGS, FL, 34688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-18 | 34921 US 19N, Palm Harbor, FL 34684 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-18 | 2138 Chianti Pl, #148, Palm Harbor, FL 34683 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-14 | RUSSO, CONNIE JO | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-24 | 34921 US 19N, Palm Harbor, FL 34684 | No data |
| CANCEL ADM DISS/REV | 2006-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-05-04 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
