| Entity Name: | DRS MEDICAL REHAB, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Jun 2006 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Oct 2006 (18 years ago) |
| Document Number: | P06000083443 |
| FEI/EIN Number | 20-5101103 |
| Address: | 9900 Stirling Rd, STE 303, COOPER CITY, FL 33024 |
| Mail Address: | 4932 NW 105th Dr, coral springs, FL 33076 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437362829 | 2007-05-08 | 2023-10-11 | 1321 N PALM AVE, PEMBROKE PINES, FL, 330263345, US | 9900 STIRLING RD STE 303, HOLLYWOOD, FL, 330248066, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-440-7827 |
| Fax | 9542511521 |
Authorized person
| Name | MR. ROBERT DOLLINGER |
| Role | PRESIDENT |
| Phone | 9544407827 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME49604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME37619 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT19924 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA0011733 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | GROUP BCBS |
| Number | 77250 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHEVERE, PETER | Agent | 4932 NW 105TH DRIVE, CORAL SPRINGS, FL 33076 |
| Name | Role | Address |
|---|---|---|
| CHEVERE, PETER | Vice President | 4932 NW 105TH DRIVE, CORAL SPRINGS, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-05 | 9900 Stirling Rd, STE 303, COOPER CITY, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-05 | 9900 Stirling Rd, STE 303, COOPER CITY, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-14 | 4932 NW 105TH DRIVE, CORAL SPRINGS, FL 33076 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-10-10 | CHEVERE, PETER | No data |
| AMENDMENT | 2006-10-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-01 |
| AMENDED ANNUAL REPORT | 2021-11-05 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-01-12 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-04-05 |
| AMENDED ANNUAL REPORT | 2016-09-16 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
