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MANZUR REHABILITATION CENTER INC

Company Details

Entity Name: MANZUR REHABILITATION CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Oct 2010 (14 years ago)
Document Number: P10000088080
FEI/EIN Number 273764657
Address: 3205 SW 106 AVE, MIAMI, FL, 33165, US
Mail Address: 3205 SW 106 AVE, MIAMI, FL, 33165, US
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093006025 2011-04-25 2011-04-25 1350 SW 57TH AVE, SUITE 105, WEST MIAMI, FL, 331445775, US 1350 SW 57TH AVE, SUITE 105, WEST MIAMI, FL, 331445775, US

Contacts

Phone +1 305-265-3267
Fax 3052653267

Authorized person

Name MANUEL ROMERO
Role PRESIDENT
Phone 3052653267

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
License Number HCC 8738
State FL
Is Primary Yes

Other Provider Identifiers

Issuer AHCA EXEMPT HCC UNIT
Number FILE 9055
State FL

Agent

Name Role Address
ROMERO ESPINOSA MANUEL J Agent 3205 SW 106 AVE, MIAMI, FL, 33165

President

Name Role Address
ROMERO ESPINOSA MANUEL J President 3205 SW 106 AVE, MIAMI, FL, 33165

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000011437 MANZUR THERAPIST EXPIRED 2014-02-02 2019-12-31 No data 8081 SW 9 TERR, MIAMI, FL, 33144

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-20 3205 SW 106 AVE, MIAMI, FL 33165 No data
CHANGE OF MAILING ADDRESS 2023-04-20 3205 SW 106 AVE, MIAMI, FL 33165 No data
REGISTERED AGENT NAME CHANGED 2023-04-20 ROMERO ESPINOSA, MANUEL J No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-20 3205 SW 106 AVE, MIAMI, FL 33165 No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State