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PREMIER THERAPY AND REHABILITATION GROUP, INC.

Company Details

Entity Name: PREMIER THERAPY AND REHABILITATION GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Jun 2011 (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: P11000056388
FEI/EIN Number 452468258
Address: 2100 WEST 76TH ST, SUITE 209, HIALEAH, FL, 33016
Mail Address: 2100 WEST 76TH ST, SUITE 209, HIALEAH, FL, 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730467515 2011-07-28 2011-07-28 2100 W 76TH ST, SUITE 209, HIALEAH, FL, 330165539, US 2100 W 76TH ST, SUITE 209, HIALEAH, FL, 330165539, US

Contacts

Phone +1 786-691-3708
Fax 3056713306

Authorized person

Name INGRISS TRAVIESO
Role PRESIDENT
Phone 7866913708

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number MM27332
State FL
Is Primary Yes

Agent

Name Role Address
TRAVIESO INGRISS Agent 2100 WEST 76TH ST, SUITE 209, HIALEAH, FL, 33016

President

Name Role Address
TRAVIESO INGRISS President 2100 WEST 76TH ST, SUITE 209, HIALEAH, FL, 33016

Vice President

Name Role Address
NUNEZ MANUEL A Vice President 2100 WEST 76TH ST, SUITE 209, HIALEAH, FL, 33016

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2012-02-14
Domestic Profit 2011-06-16

Date of last update: 03 Feb 2025

Sources: Florida Department of State