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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GOLDBERG, TODD | Agent | 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028 |
Name | Role | Address |
---|---|---|
GOLDBERG, TODD | President | 19315 SW 24TH STREET, MIRAMAR, FL 33029 |
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 |
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