| Entity Name: | BALLENT REHABILITATION PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Oct 2006 (18 years ago) |
| Document Number: | P06000137340 |
| FEI/EIN Number | 205800148 |
| Address: | 8050 SW 137 ST, MIAMI, FL, 33158, US |
| Mail Address: | 8050 SW 137 ST, MIAMI, FL, 33158, US |
| ZIP code: | 33158 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700135100 | 2012-08-31 | 2012-10-04 | 11245 SW 91ST AVE, MIAMI, FL, 331764346, US | 14437 S DIXIE HWY, MIAMI, FL, 331767924, US | |||||||||||||||||
|
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| Phone | +1 305-256-6020 |
Authorized person
| Name | RYAN BALLENT |
| Role | PRESIDENT |
| Phone | 7865536761 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9161 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BALLENT RYAN | Agent | 8050 SW 137 ST, MIAMI, FL, 33158 |
| Name | Role | Address |
|---|---|---|
| BALLENT RYAN | President | 8050 SW 137 ST, MIAMI, FL, 33158 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000021594 | HEALTHSOURCE OF PALMETTO BAY | EXPIRED | 2013-03-03 | 2018-12-31 | No data | 9245 SW 157 STREET, SUITE 106, MIAMI, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 8050 SW 137 ST, MIAMI, FL 33158 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 8050 SW 137 ST, MIAMI, FL 33158 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 8050 SW 137 ST, MIAMI, FL 33158 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
