| Entity Name: | HIAWASSEE HEALTH AND REHAB CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Nov 2008 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P08000100214 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 6500 WEST COLONIAL DRIVE, ORLANDO, FL, 32818 |
| Mail Address: | 6500 WEST COLONIAL DRIVE, ORLANDO, FL, 32818 |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366682965 | 2009-02-23 | 2022-07-21 | 6500 W COLONIAL DR, ORLANDO, FL, 328187800, US | 6500 W COLONIAL DR, ORLANDO, FL, 328187800, US | |||||||||||||||||||||
|
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| Phone | +1 407-403-5400 |
| Fax | 4074035401 |
Authorized person
| Name | MR. RODRIGUE BOSSOUS |
| Role | MANAGER |
| Phone | 4074035400 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CARLSON ROY P | Agent | 531 SOUTH GROVE STREET, EUSTIS, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| CARLSON ROY P | President | 531 SOUTH GROVE STREET, ORLANDO, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| CARLSON ROY P | Vice President | 531 SOUTH GROVE STREET, ORLANDO, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-11-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2009-11-16 |
| Domestic Profit | 2008-11-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
