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PHYSICAL THERAPY REHAB CENTER, P. A.

Company Details

Entity Name: PHYSICAL THERAPY REHAB CENTER, P. A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 08 Feb 2005 (20 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P05000020366
FEI/EIN Number 11-3742781
Address: 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028
Mail Address: 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028
ZIP code: 33028
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437261476 2006-08-31 2020-08-22 1900 N FLAMINGO RD, SUITE A, PEMBROKE PINES, FL, 330282594, US 1900 N FLAMINGO RD, SUITE A, PEMBROKE PINES, FL, 330282594, US

Contacts

Phone +1 954-437-6660
Fax 9544502253

Authorized person

Name DR. TODD D GOLDBERG
Role PRESIDENT
Phone 9544376660

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PT12087
State FL
Is Primary Yes

Agent

Name Role Address
GOLDBERG, TODD Agent 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028

President

Name Role Address
GOLDBERG, TODD President 19315 SW 24TH STREET, MIRAMAR, FL 33029

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-03-09 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028 No data
CHANGE OF MAILING ADDRESS 2011-03-09 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028 No data
REGISTERED AGENT ADDRESS CHANGED 2011-03-09 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028 No data

Documents

Name Date
ANNUAL REPORT 2011-03-09
ANNUAL REPORT 2010-02-18
ANNUAL REPORT 2009-03-30
ANNUAL REPORT 2008-07-08
ANNUAL REPORT 2007-07-05
ANNUAL REPORT 2006-06-19
Domestic Profit 2005-02-08

Date of last update: 04 Jan 2025

Sources: Florida Department of State