| Entity Name: | EXCELLENT REHAB AND MEDICAL STAFFING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Aug 2011 (13 years ago) |
| Date of dissolution: | 03 Dec 2012 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Dec 2012 (12 years ago) |
| Document Number: | P11000072091 |
| FEI/EIN Number | 452977070 |
| Address: | 782 NW 42 AVE, #635, MIAMI, FL, 33126 |
| Mail Address: | 782 NW 42 AVE, #635, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689941296 | 2011-11-27 | 2011-11-27 | 782 NW 42ND AVE, SUITE#635, MIAMI, FL, 331265541, US | 782 NW 42ND AVE, SUITE#635, MIAMI, FL, 331265541, US | |||||||||||||||||||
|
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| Phone | +1 305-444-4669 |
| Fax | 3054444633 |
Authorized person
| Name | MR. EDUARDO BENITEZ I |
| Role | OWNER |
| Phone | 3054444669 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC9513 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LARA CARLOS A | Agent | 4542 SW 127 CT, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| LARA CARLOS A | President | 4542 SW 127 CT, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-12-03 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2011-08-29 | EXCELLENT REHAB AND MEDICAL STAFFING CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-29 | 782 NW 42 AVE, #635, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2011-08-29 | 782 NW 42 AVE, #635, MIAMI, FL 33126 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-08-29 | LARA, CARLOS A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-08-29 | 4542 SW 127 CT, MIAMI, FL 33175 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000849330 | LAPSED | 1000000620142 | MIAMI-DADE | 2014-05-19 | 2024-08-01 | $ 508.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J14000337559 | TERMINATED | 1000000592625 | MIAMI-DADE | 2014-03-10 | 2024-03-13 | $ 770.37 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119E 200 |
| J13000157934 | ACTIVE | 1000000451653 | MIAMI-DADE | 2013-01-02 | 2033-01-16 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J13000157942 | LAPSED | 1000000451654 | MIAMI-DADE | 2013-01-02 | 2023-01-16 | $ 1,567.85 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-12-03 |
| ANNUAL REPORT | 2012-02-21 |
| Amendment and Name Change | 2011-08-29 |
| Domestic Profit | 2011-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
