| Entity Name: | K & I REHAB MEDICAL CENTER, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Jul 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P11000062529 |
| Address: | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 |
| Mail Address: | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255612867 | 2011-09-09 | 2011-09-09 | 1414 N.W. 107TH AVENUE, SUITE 201, MIAMI, FL, 33172, US | 1414 N.W. 107TH AVENUE, SUITE 201, MIAMI, FL, 33172, US | |||||||||||||||||||||||||
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| Phone | +1 786-423-2690 |
| Fax | 3056752668 |
Authorized person
| Name | KENNER GUTIERREZ |
| Role | PRESIDENT OWNER |
| Phone | 7864232690 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC9345 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA EXEMPT HCC UNIT |
| Number | FILE# 9699 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, KENNER | Agent | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, KENNER | President | 1414 N.W.107TH AVENUE, STE#201, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| IBARRA, ISMARY | Vice President | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-07 | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-07 | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-07 | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-07 | 1414 N.W.107TH AVENUE, #201, MIAMI, FL 33172 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2011-07-08 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
