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CRYSTAL REHAB CENTER, INC

Company Details

Entity Name: CRYSTAL REHAB CENTER, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 29 Aug 2011 (13 years ago)
Date of dissolution: 23 Dec 2020 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Dec 2020 (4 years ago)
Document Number: P11000076542
FEI/EIN Number APPLIED FOR
Address: 85 GRAND CANAL DRIVE, 302, MIAMI, FL 33144
Mail Address: 85 GRAND CANAL DRIVE, 302, MIAMI, FL 33144
ZIP code: 33144
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568743136 2011-09-08 2011-09-08 85 GRAND CANAL DR, SUITE 302, MIAMI, FL, 331442561, US 85 GRAND CANAL DR, SUITE 302, MIAMI, FL, 331442561, US

Contacts

Phone +1 786-539-8509

Authorized person

Name JORGE MULET
Role PRESIDENT/OWNER
Phone 7865398509

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME55442
State FL
Is Primary Yes

Agent

Name Role Address
PEREZ, MABEL Agent 85 GRAND CANAL DRIVE, 302, MIAMI, FL 33144

President

Name Role Address
PEREZ, MABEL President 85 GRAND CANAL DRIVE # 302, MIAMI, FL 33144

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-12-23 No data No data
AMENDMENT 2014-03-03 No data No data
REGISTERED AGENT NAME CHANGED 2014-03-03 PEREZ, MABEL No data

Documents

Name Date
Voluntary Dissolution 2020-12-23
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-03-21
ANNUAL REPORT 2015-04-23
Amendment 2014-03-03
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-04-04

Date of last update: 24 Jan 2025

Sources: Florida Department of State