| Entity Name: | INSPIRE REHABILITATION SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Mar 2006 (19 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P06000037204 |
| Address: | 10923 RUSHWOOD WAY, CLERMONT, FL, 34714 |
| Mail Address: | 10923 RUSHWOOD WAY, CLERMONT, FL, 34714 |
| ZIP code: | 34714 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063512549 | 2006-09-24 | 2020-08-22 | 10923 RUSHWOOD WAY, CLERMONT, FL, 347147545, US | 10923 RUSHWOOD WAY, CLERMONT, FL, 347147545, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-314-5006 |
| Fax | 3525369669 |
Authorized person
| Name | SAMARA D KING |
| Role | OCCUPATIONAL THERAPIST/OWNER |
| Phone | 4073145006 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT11595 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 8911070 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KING SAMARA D | Agent | 10923 RUSHWOOD WAY, CLERMONT, FL, 34714 |
| Name | Role | Address |
|---|---|---|
| KING SAMARA D | Director | 10923 RUSHWOOD WAY, CLERMONT, FL, 34714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2006-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
