| Entity Name: | BAYSIDE REHAB CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Aug 2011 (13 years ago) |
| Document Number: | P11000074639 |
| FEI/EIN Number | 45-3193856 |
| Address: | 7918 W Hillsborough Ave, Tampa, FL 33615 |
| Mail Address: | P.O.BOX 260246, TAMPA, FL 33685 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184125965 | 2018-02-27 | 2018-03-17 | PO BOX 260246, TAMPA, FL, 336850246, US | 7918 W HILLSBOROUGH AVE, TAMPA, FL, 336154608, US | |||||||||||||||||
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| Phone | +1 813-374-2444 |
| Fax | 8136447040 |
Authorized person
| Name | ROBERT LEON |
| Role | GENERAL MANAGER |
| Phone | 8133742444 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAI, THEOPHILUS T | Agent | 7918 W. Hillsborough Ave., Tampa, FL 33615 |
| Name | Role | Address |
|---|---|---|
| SAI, THEOPHILUS | President | 7918 W Hillsborough Ave, Tampa, FL 33615 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000098912 | BAYSIDE MEDICAL GROUP | ACTIVE | 2012-10-10 | 2027-12-31 | No data | P.O. BOX 260246, TAMPA, FL, 33685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-12 | 7918 W Hillsborough Ave, Tampa, FL 33615 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-12 | SAI, THEOPHILUS T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-07 | 7918 W. Hillsborough Ave., Tampa, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-02 |
| AMENDED ANNUAL REPORT | 2021-11-12 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
