| Entity Name: | CLEVELAND REHAB CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Aug 2011 (13 years ago) |
| Date of dissolution: | 29 Mar 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Mar 2014 (11 years ago) |
| Document Number: | P11000077180 |
| FEI/EIN Number | 45-3010678 |
| Address: | 3049 CLEVELAND AVENUE, UNIT 130, FORT MYERS, FL 33901 |
| Mail Address: | 3049 CLEVELAND AVENUE, UNIT 130, FORT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396020673 | 2011-10-18 | 2011-10-18 | 3049 CLEVELAND AVE, SUITE 130, FORT MYERS, FL, 339017041, US | 3049 CLEVELAND AVE, SUITE 130, FORT MYERS, FL, 339017041, US | |||||||||||||||||||||||||
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| Phone | +1 239-288-5647 |
| Fax | 2392885654 |
Authorized person
| Name | MARIA C RIVAS |
| Role | PRESIDENT |
| Phone | 2392885647 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC 9451 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA EXEMPT HCC UNIT |
| Number | FILE 9821 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIVAS, MARIA C | Agent | 3049 CLEVELAND AVENUE, UNIT 130, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| RIVAS, MARIA C | President | 3049 CLEVELAND AVENUE #106, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| RIVAS, MARIA C | Director | 3049 CLEVELAND AVENUE #106, FORT MYERS, FL 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-29 | No data | No data |
| AMENDMENT | 2011-09-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-09-21 | 3049 CLEVELAND AVENUE, UNIT 130, FORT MYERS, FL 33901 | No data |
| CHANGE OF MAILING ADDRESS | 2011-09-21 | 3049 CLEVELAND AVENUE, UNIT 130, FORT MYERS, FL 33901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-09-21 | 3049 CLEVELAND AVENUE, UNIT 130, FORT MYERS, FL 33901 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-29 |
| ANNUAL REPORT | 2013-01-16 |
| ANNUAL REPORT | 2012-01-06 |
| Amendment | 2011-09-21 |
| Domestic Profit | 2011-08-30 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
