| Entity Name: | SPECIALIZED REHAB SOLUTIONS,INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Aug 2010 (14 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P10000069472 |
| FEI/EIN Number | 27-3401369 |
| Address: | 315 NW SHIRLEY COURT, PORT SAINT LUCIE, FL 34986 |
| Mail Address: | 315 NW SHIRLEY COURT, PORT SAINT LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093017386 | 2010-11-19 | 2010-12-14 | 315 NW SHIRLEY CT, PORT SAINT LUCIE, FL, 349863596, US | 315 NW SHIRLEY CT, PORT SAINT LUCIE, FL, 349863596, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-465-4467 |
Authorized person
| Name | MRS. KOURTNI DAMES |
| Role | OWNER |
| Phone | 9544654467 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225XE0001X - Environmental Modification Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 225XL0004X - Low Vision Occupational Therapist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI,INDIVIDUAL |
| Number | 1720399556 |
| State | FL |
| Issuer | MEDICAID |
| Number | 890876100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAMES, KOURTNI M | Agent | 315 NW SHIRLEY COURT, PORT SAINT LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| DAMES, KOURTNI M | President | 315 NW SHIRLEY COURT, PORT SAINT LUCIE, FL 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-08-05 |
| Domestic Profit | 2010-08-24 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
