| Entity Name: | UNIVERSAL REHAB MED GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Mar 2009 (16 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: | P09000023719 |
| FEI/EIN Number | 26-4445309 |
| Address: | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 |
| Mail Address: | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700028610 | 2009-03-24 | 2009-03-24 | 2925 10TH AVE N STE 201C, PALM SPRINGS, FL, 334613046, US | 2925 10TH AVE N STE 201C, PALM SPRINGS, FL, 334613046, US | |||||||||||||||||||||
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| Phone | +1 561-966-9957 |
| Fax | 5619669958 |
Authorized person
| Name | LAZARO RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 5619669957 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 261QP2000X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, LAZARO | Agent | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, LAZARO | President | 2925 10TH AVE NORTH #201 C, LAKE WORTH, FL 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-01 | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-01 | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-01 | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-01 | 2925 10TH AVE NORTH, SUITE 201 C, LAKE WORTH, FL 33461 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000624042 | LAPSED | 50 2012 CA001702 | CIR CT 15TH JUD PALM BEACH FL | 2012-08-16 | 2017-09-26 | $201,173.03 | ALLSTATE PROPERTY AND CASUALTY COMPANY, 2775 SANDERS ROAD, NORTHBROOK, IL 60062 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-09-16 |
| Domestic Profit | 2009-03-13 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
