| Entity Name: | BACK MASTERY REHABILITATION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Feb 2010 (15 years ago) |
| Date of dissolution: | 11 Feb 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Feb 2013 (12 years ago) |
| Document Number: | P10000017655 |
| FEI/EIN Number | 27-2023210 |
| Address: | 2261 N UNIVERSITY DRIVE, 101, PEMBROKE PINES, FL 33024 |
| Mail Address: | 2261 N UNIVERSITY DRIVE, 101, PEMBROKE PINES, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144544974 | 2010-03-23 | 2010-06-04 | 2261 N UNIVERSITY DR, SUITE #101, PEMBROKE PINES, FL, 330243623, US | 2261 N UNIVERSITY DR, SUITE #101, PEMBROKE PINES, FL, 330243623, US | |||||||||||||||||||||||||||
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| Phone | +1 954-322-8985 |
| Fax | 9543228981 |
Authorized person
| Name | CARLOS CARRAZANA |
| Role | PRESIDENT |
| Phone | 9543228985 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9890 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME79915 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RONDON, JUAN C | Agent | 2261 N UNIVERSITY DRIVE, SUITE 101, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| RONDON, CARLOS | President | 2261 N UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-02-11 | No data | No data |
| REINSTATEMENT | 2011-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| AMENDMENT | 2011-02-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-22 | RONDON, JUAN C | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2013-02-11 |
| ANNUAL REPORT | 2012-01-12 |
| REINSTATEMENT | 2011-10-03 |
| Amendment | 2011-02-22 |
| Domestic Profit | 2010-02-26 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
