| Entity Name: | WEST KENDALL REHAB, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Dec 2009 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P09000098426 |
| FEI/EIN Number | APPLIED FOR |
| Address: | TERRA BANK BLDG, 4445 WEST 16 AVE, STE 505, HIALEAH, FL, 33012 |
| Mail Address: | TERRA BANK BLDG, 4445 WEST 16 AVE, STE 505, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487943619 | 2011-03-28 | 2011-03-28 | 4445 W 16TH AVE STE 505, HIALEAH, FL, 330122960, US | 4445 W 16TH AVE STE 505, HIALEAH, FL, 330122960, US | |||||||||||||||||||||||||
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| Phone | +1 305-512-1717 |
| Fax | 3055121713 |
Authorized person
| Name | INTI FERNANDEZ |
| Role | PRESIDENT |
| Phone | 3055121717 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME97323 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ORGANIZATION |
| Number | 1831235043 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ INTI | Agent | TERRA BANK BLDG, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ INTI | Director | TERRA BANK BLDG 4445 WEST 16 AVE STE 505, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ INTI | President | TERRA BANK BLDG 4445 WEST 16 AVE STE 505, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| AMENDMENT | 2010-12-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-12-08 | TERRA BANK BLDG, 4445 WEST 16 AVE, STE 505, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2010-12-08 | TERRA BANK BLDG, 4445 WEST 16 AVE, STE 505, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-12-08 | TERRA BANK BLDG, 4445 WEST 16 AVE, STE 505, HIALEAH, FL 33012 | No data |
| AMENDMENT | 2010-12-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-28 |
| Amendment | 2010-12-08 |
| Amendment | 2010-12-07 |
| ANNUAL REPORT | 2010-05-13 |
| Domestic Profit | 2009-12-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
