| Entity Name: | BUSCH HEALTHCARE & REHAB, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 May 2009 (16 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: | P09000043360 |
| FEI/EIN Number | 270193030 |
| Address: | 3750 GUN HWY - SUITE 209, TAMPA, FL, 33618 |
| Mail Address: | po box 260211, TAMPA, FL, 33685, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295965317 | 2009-07-23 | 2009-07-23 | 2901 W BUSCH BLVD, SUITE 305, TAMPA, FL, 336184523, US | 2901 W BUSCH BLVD, SUITE 305, TAMPA, FL, 336184523, US | |||||||||||||||||||||||||
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| Fax | 8134435192 |
| Phone | +1 813-443-5191 |
Authorized person
| Name | DR. ROBERTO J CASANAS |
| Role | GENERAL MEDICINE |
| Phone | 8134435191 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | MA8652 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSED MASSAGE THERAPIST |
| Number | MA8652 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| arbolaez aldo | Agent | 6805 chippendale ct, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JAMES A | President | 12737 N 17TH STREET, UNIT G12, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-16 | 6805 chippendale ct, TAMPA, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-16 | 3750 GUN HWY - SUITE 209, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-16 | arbolaez, aldo | No data |
| AMENDMENT | 2011-05-31 | No data | No data |
| AMENDMENT | 2010-10-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-12 | 3750 GUN HWY - SUITE 209, TAMPA, FL 33618 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000623537 | LAPSED | 1000000618526 | HILLSBOROU | 2014-04-24 | 2024-05-09 | $ 993.73 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000877267 | TERMINATED | 1000000500165 | HILLSBOROU | 2013-04-25 | 2023-05-03 | $ 504.71 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000884588 | LAPSED | 1000000380079 | HILLSBOROU | 2012-11-19 | 2022-11-28 | $ 624.12 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-16 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-03-01 |
| ANNUAL REPORT | 2012-02-28 |
| Amendment | 2011-05-31 |
| ANNUAL REPORT | 2011-04-28 |
| Amendment | 2010-10-25 |
| ANNUAL REPORT | 2010-04-12 |
| ANNUAL REPORT | 2010-03-30 |
| Off/Dir Resignation | 2009-09-24 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
