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CRYSTAL REHABILITATION CENTER INC

Company Details

Entity Name: CRYSTAL REHABILITATION CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Aug 2009 (15 years ago)
Date of dissolution: 06 Jul 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR REGISTERED AGENT
Event Date Filed: 06 Jul 2012 (13 years ago)
Document Number: P09000071222
FEI/EIN Number 270790547
Address: 8019 N. HIMES AVE, STE 102, TAMPA, FL, 33614
Mail Address: 8019 N. HIMES AVE, STE 102, TAMPA, FL, 33614
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720313489 2009-10-13 2009-10-13 8019 N HIMES AVE, STE 102, TAMPA, FL, 336142712, US 8019 N HIMES AVE, STE 102, TAMPA, FL, 336142712, US

Contacts

Phone +1 813-935-3939

Authorized person

Name DAVID RODRIGUEZ
Role DIRECTOR
Phone 8139353939

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC 7729
State FL
Is Primary Yes

Director

Name Role Address
RODRIGUEZ LOPEZ DAVID Director 8019 N. HIMES AVE STE 102, TAMPA, FL, 33614

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR REGISTERED AGENT 2012-07-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-03-16 8019 N. HIMES AVE, STE 102, TAMPA, FL 33614 No data
CHANGE OF MAILING ADDRESS 2010-03-16 8019 N. HIMES AVE, STE 102, TAMPA, FL 33614 No data

Documents

Name Date
Admin. Diss. for Reg. Agent 2012-07-06
Reg. Agent Resignation 2012-04-09
ANNUAL REPORT 2012-04-02
Off/Dir Resignation 2012-02-13
Reg. Agent Resignation 2012-02-13
ANNUAL REPORT 2011-05-17
ANNUAL REPORT 2011-01-17
ANNUAL REPORT 2010-03-16
Domestic Profit 2009-08-24

Date of last update: 01 Feb 2025

Sources: Florida Department of State