| Entity Name: | HANLEY PAIN & REHABILITATION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Aug 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P07000088425 |
| FEI/EIN Number | 260645281 |
| Address: | 5979 VINELAND ROAD, SUITE 209, ORLANDO, FL, 32819, US |
| Mail Address: | 5979 VINELAND ROAD, SUITE 209, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518140425 | 2007-12-13 | 2007-12-13 | 5979 VINELAND RD, SUITE 209, ORLANDO, FL, 328197800, US | 5979 VINELAND RD, SUITE 209, ORLANDO, FL, 328197800, US | |||||||||||||||||||||||
|
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| Phone | +1 407-352-1030 |
| Fax | 4073522884 |
Authorized person
| Name | MR. JOSH MAYWALT |
| Role | BILLING MANAGER |
| Phone | 4073521030 |
Taxonomy
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HANLEY ALLISON W | Agent | 6400 HAWKSMOOR DRIVE, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| HANLEY ALLISON W | President | 6400 HAWKSMOOR DRIVE, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| HANLEY ALLISON W | Director | 6400 HAWKSMOOR DRIVE, ORLANDO, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-03 | HANLEY, ALLISON W | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-03 | 6400 HAWKSMOOR DRIVE, ORLANDO, FL 32818 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-07-07 |
| ANNUAL REPORT | 2010-01-26 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-07-02 |
| Domestic Profit | 2007-08-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
