| Entity Name: | PALM REHAB SERVICES CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Apr 2012 (13 years ago) |
| Date of dissolution: | 01 Mar 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Mar 2013 (12 years ago) |
| Document Number: | P12000034602 |
| Address: | 2800 N MILITARY TRAIL #104, WEST PALM BEACH, FL 33409 |
| Mail Address: | 2800 N MILITARY TRAIL #104, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831456508 | 2012-04-18 | 2012-04-18 | 2800 N MILITARY TRL STE 104, WEST PALM BEACH, FL, 334092950, US | 2800 N MILITARY TRL STE 104, WEST PALM BEACH, FL, 334092950, US | |||||||||||||||||
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| Phone | +1 561-683-6919 |
Authorized person
| Name | CLAIRE BALLADARES |
| Role | SECRETARY |
| Phone | 5616836919 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH6537 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUTPHIN, BARRY W | Agent | 8838 NW 75TH CT, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| SUTPHIN, BARRY W | President | 8838 NW 75TH CT, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| SUTPHIN, BARRY W | Director | 8838 NW 75TH CT, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| BLANCO, JEAN | Manager | 1085 W 71ST STREET, HIALEAH, FL 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-03-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2013-03-01 |
| Domestic Profit | 2012-04-10 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
