| Entity Name: | PHYSICAL THERAPY REHABILITATION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Apr 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P13000031616 |
| FEI/EIN Number | 46-2473688 |
| Address: | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 |
| Mail Address: | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720410913 | 2013-07-30 | 2013-07-30 | 8181 NW 36TH ST, STE 17A, DORAL, FL, 331666671, US | 8181 NW 36TH ST, STE 17A, DORAL, FL, 331666671, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-315-8059 |
Authorized person
| Name | ALBA RODRIGUEZ |
| Role | OWNER |
| Phone | 7863158059 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | HCC-9831 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FUNDORA, DANIEL R | Agent | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 |
| Name | Role | Address |
|---|---|---|
| Fundora, Daniel Rolando | President | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000055476 | DIAGNOSTIC CENTER OF MEDLEY | EXPIRED | 2016-06-07 | 2021-12-31 | No data | 7911 N.W. 72ND AVE., STE. 105, MEDLEY, FL, 33166 |
| G14000007273 | DIAGNOSTIC CENTER OF MEDLEY | EXPIRED | 2014-01-21 | 2019-12-31 | No data | 7911 NW 72ND AVE, STE 105, MEDLEY, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-08-12 | FUNDORA, DANIEL R | No data |
| AMENDMENT | 2016-08-12 | No data | No data |
| REINSTATEMENT | 2016-05-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2014-04-02 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-21 | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-21 | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-21 | 7911 NW 72ND AVE STE 105, MEDLEY, FL 33166 | No data |
| AMENDMENT | 2014-01-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-21 |
| Amendment | 2016-08-12 |
| REINSTATEMENT | 2016-05-31 |
| Amendment | 2014-04-02 |
| Amendment | 2014-01-21 |
| Domestic Profit | 2013-04-08 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
