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DYNAMIC PHYSICAL REHAB INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BEJERANO IVAN Agent 8180 NW 36 STREET, DORAL, FL, 33166

President

Name Role Address
BEJERANO IVAN President 8180 NW 36 STREET, DORAL, FL, 33166

Events

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

Documents

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