| Entity Name: | EHAB REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Nov 2006 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P06000139915 |
| FEI/EIN Number | 020790762 |
| Address: | 4558 SAN JUAN AVENUE, SUITE B, JACKSONVILLE, FL, 32210 |
| Mail Address: | 4558 SAN JUAN AVENUE, SUITE B, JACKSONVILLE, FL, 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174682447 | 2006-12-06 | 2020-08-22 | 4558 SAN JUAN AVE, SUITE B, JACKSONVILLE, FL, 322102051, US | 4558 SAN JUAN AVE, SUITE B, JACKSONVILLE, FL, 322102051, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-389-2077 |
| Fax | 9043891170 |
Authorized person
| Name | MR. EHAB M ABDELMALEK |
| Role | PRESIDENT |
| Phone | 9043892077 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT16803 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE SHIELD |
| Number | Y102P |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABDELMALEK EHAB M | Agent | 4558 SAN JUAN AVENUE, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| ABDELMALEK EHAB M | President | 4558 SAN JUAN AVENUE, SUITE B, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| ABDELMALEK EHAB M | Treasurer | 4558 SAN JUAN AVENUE, SUITE B, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-10-08 | ABDELMALEK, EHAB MPRES | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-04-10 |
| REINSTATEMENT | 2007-10-08 |
| Domestic Profit | 2006-11-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
