| Entity Name: | PHYSICIAN REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Nov 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P10000094677 |
| FEI/EIN Number | 273992446 |
| Address: | 5801 NW 151 STREET, STE: 106, MIAMI LAKES, FL, 33014 |
| Mail Address: | 5801 NW 151 STREET, STE: 106, MIAMI LAKES, FL, 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730479601 | 2011-04-13 | 2011-04-13 | 5801 NW 151ST ST, SUITE 106, MIAMI LAKES, FL, 330142437, US | 5801 NW 151ST ST, SUITE 106, MIAMI LAKES, FL, 330142437, US | |||||||||||||||||||
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| Phone | +1 305-828-0455 |
| Fax | 3058288455 |
Authorized person
| Name | MR. JORGE LUIS LOPEZ |
| Role | SECRETARY/VP |
| Phone | 3052134211 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME17907 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ MARIA | Agent | 5801 NW 151 STREET, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ MARIA | President | 5801 NW 151 STREET, SUITE 106, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ MARIA | Secretary | 5801 NW 151 STREET, SUITE 106, MIAMI LAKES, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000024740 | ACESO & PANACEA WELLNESS CENTER | EXPIRED | 2011-03-08 | 2016-12-31 | No data | 5801 NW 151 STREET, SUITE 106, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-29 | FERNANDEZ, MARIA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-08 | 5801 NW 151 STREET, STE: 106, MIAMI LAKES, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-08 | 5801 NW 151 STREET, STE: 106, MIAMI LAKES, FL 33014 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-08 | 5801 NW 151 STREET, STE: 106, MIAMI LAKES, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-29 |
| ANNUAL REPORT | 2011-12-19 |
| ANNUAL REPORT | 2011-07-12 |
| ANNUAL REPORT | 2011-03-08 |
| ANNUAL REPORT | 2011-02-04 |
| Domestic Profit | 2010-11-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
