Entity Name: | DYNAMIC PHYSICAL REHAB INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 19 Jan 2012 (13 years ago) |
Date of dissolution: | 25 Sep 2020 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (4 years ago) |
Document Number: | P12000006250 |
FEI/EIN Number | 45-4295391 |
Address: | 8180 NW 36 STREET, DORAL, FL, 33166, US |
Mail Address: | 8180 NW 36 STREET, DORAL, FL, 33166, US |
ZIP code: | 33166 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720347529 | 2012-05-14 | 2012-05-14 | 4445 W 16TH AVE, SUITE 500, HIALEAH, FL, 330127189, US | 4445 W 16TH AVE, SUITE 500, HIALEAH, FL, 330127189, US | |||||||||||||||
|
Phone | +1 305-698-2260 |
Fax | 3056982276 |
Authorized person
Name | AVELLAIL DIAZ PRIETO |
Role | PRESIDENT/OWNER |
Phone | 3056982270 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BEJERANO IVAN | Agent | 8180 NW 36 STREET, DORAL, FL, 33166 |
Name | Role | Address |
---|---|---|
BEJERANO IVAN | President | 8180 NW 36 STREET, DORAL, FL, 33166 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-01-10 | 8180 NW 36 STREET, SUITE 217, DORAL, FL 33166 | No data |
REGISTERED AGENT NAME CHANGED | 2017-01-10 | BEJERANO, IVAN | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-01-10 | 8180 NW 36 STREET, SUITE 217, DORAL, FL 33166 | No data |
CHANGE OF MAILING ADDRESS | 2017-01-10 | 8180 NW 36 STREET, SUITE 217, DORAL, FL 33166 | No data |
AMENDMENT | 2016-05-20 | No data | No data |
AMENDMENT | 2016-03-28 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2019-02-26 |
ANNUAL REPORT | 2018-03-20 |
AMENDED ANNUAL REPORT | 2017-02-10 |
ANNUAL REPORT | 2017-01-10 |
Amendment | 2016-05-20 |
AMENDED ANNUAL REPORT | 2016-04-28 |
Amendment | 2016-03-28 |
ANNUAL REPORT | 2016-02-10 |
AMENDED ANNUAL REPORT | 2015-10-08 |
ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State