| Entity Name: | PHYSIOHEALTH AND REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Nov 2009 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P09000090945 |
| FEI/EIN Number | 800503340 |
| Address: | 3404 Majestic View Drive, Lutz, FL, 33558, US |
| Mail Address: | 3404 Majestic View Drive, Lutz, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679800775 | 2009-11-10 | 2013-01-15 | 17900 HUNTING BOW CIR, SUITE 102, LUTZ, FL, 335585390, US | 17900 HUNTING BOW CIR, SUITE 102, LUTZ, FL, 335585390, US | |||||||||||||||||||
|
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| Phone | +1 813-920-4293 |
| Fax | 8139204238 |
Authorized person
| Name | MS. MARIA CLARISSA MARQUINEZ |
| Role | CEO |
| Phone | 8139204293 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT15246 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARQUINEZ MARIA CLARISSAT | Agent | 3404 Majestic View Drive, Lutz, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| MARQUINEZ MARIA CLARISSAT | Chief Executive Officer | 3404 Majestic View Drive, Lutz, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-02 | 3404 Majestic View Drive, Lutz, FL 33558 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-04 | 3404 Majestic View Drive, Lutz, FL 33558 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-11-04 | 3404 Majestic View Drive, Lutz, FL 33558 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000986662 | TERMINATED | 1000000510805 | PASCO | 2013-05-08 | 2033-05-22 | $ 360.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000678253 | TERMINATED | 1000000299387 | PASCO | 2012-10-15 | 2032-10-17 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-02-02 |
| ANNUAL REPORT | 2014-03-25 |
| AMENDED ANNUAL REPORT | 2013-11-04 |
| ANNUAL REPORT | 2013-05-31 |
| ANNUAL REPORT | 2012-11-13 |
| ANNUAL REPORT | 2012-03-01 |
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-04-28 |
| ADDRESS CHANGE | 2009-12-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
