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ADVANCED MEDICAL AND REHABILITATION OF MIAMI, INC.

Company Details

Entity Name: ADVANCED MEDICAL AND REHABILITATION OF MIAMI, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jan 2012 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Oct 2013 (11 years ago)
Document Number: P12000004433
FEI/EIN Number 45-4250506
Address: 7170 SW 117TH AVENUE, MIAMI, FL, 33183
Mail Address: 7170 SW 117TH AVENUE, MIAMI, FL, 33183
ZIP code: 33183
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699019356 2012-11-19 2012-11-19 7170 SW 117TH AVE, MIAMI, FL, 331832808, US 7170 SW 117TH AVE, MIAMI, FL, 331832808, US

Contacts

Phone +1 305-598-8788
Fax 3055988588

Authorized person

Name DR. JOSEPH P GAMBARDELLA
Role OWNER
Phone 3055988788

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes

Agent

Name Role Address
MATZNER GARY C Agent 800 S DOUGLAS ROAD, CORAL GABLES, FL, 33134

Director

Name Role Address
Gambardella Joseph P Director 7170 SW 117 AVE, MIAMI, FL, 33183

President

Name Role Address
Gambardella Joseph P President 7170 SW 117 AVE, MIAMI, FL, 33183

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000112178 ADVANCED PHYSICAL MEDICINE & REHAB OF MIAMI ACTIVE 2016-10-14 2026-12-31 No data 7170 SW 117TH AVENUE, MIAMI, FL, 33183-2808

Events

Event Type Filed Date Value Description
AMENDMENT 2013-10-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State