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ACTIVA REHAB THERAPY, INC.

Company Details

Entity Name: ACTIVA REHAB THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Jun 2007 (18 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P07000070216
FEI/EIN Number 26-0377674
Address: 7861 N.W. 170 STREET, HIALEAH, FL 33015
Mail Address: 7861 N.W. 170 STREET, HIALEAH, FL 33015
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114115052 2007-10-04 2008-05-01 7861 NW 170TH ST, HIALEAH, FL, 330153860, US 7861 NW 170TH ST, HIALEAH, FL, 330153860, US

Contacts

Phone +1 786-295-9334
Fax 3055569744

Authorized person

Name MS. MARIA BEATRIZ ROJAS
Role PRESIDENT
Phone 7862959334

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PT22532
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE LEGACY
Number AH294
State FL

Agent

Name Role Address
ROJAS, MARIA B Agent 7861 N.W. 170 STREET, HIALEAH, FL 33015

President

Name Role Address
ROJAS, ALEXANDER President 7861 N.W. 170 STREET, HIALEAH, FL 33015

Vice President

Name Role Address
ROJAS, MARIA B Vice President 7861 NW 170 STREET, HIALEAH, FL 33015

Secretary

Name Role Address
ROJAS, ALEXANDER Secretary 7861 NW 170 STREET, HIALEAH, FL 33015

Treasurer

Name Role Address
ROJAS, MARIA B Treasurer 7861 NW 170 STREET, HIALEAH, FL 33015

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000042741 SIMPLIFIED BILLING SERVICES EXPIRED 2010-05-14 2015-12-31 No data 7861 NW 170 STREET, HIALEAH, FL, 33015

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2012-04-30
ANNUAL REPORT 2011-04-27
ANNUAL REPORT 2010-05-14
ANNUAL REPORT 2010-05-04
ANNUAL REPORT 2009-05-04
ANNUAL REPORT 2008-05-01
Domestic Profit 2007-06-15

Date of last update: 27 Jan 2025

Sources: Florida Department of State