| Entity Name: | PHYSICAL MEDICINE AND REHABILITATION OF S.E. FLORIDA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Feb 2014 (11 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: | P14000014553 |
| FEI/EIN Number | 46-4838522 |
| Address: | 2096 SW 163RD AVENUE, MIRAMAR, FL, 33027, US |
| Mail Address: | 2096 SW 163RD AVENUE, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053728287 | 2014-07-21 | 2014-07-21 | 2096 SW 163RD AVE, MIRAMAR, FL, 330274455, US | 2096 SW 163RD AVE, MIRAMAR, FL, 330274455, US | |||||||||||||||||||
|
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| Phone | +1 954-431-8022 |
| Fax | 9544318078 |
Authorized person
| Name | DR. VICTORIA GAUS |
| Role | PRESIDENT |
| Phone | 9546442234 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME97569 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAUS VICTORIA M | Agent | 2096 SW 163RD AVENUE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| GAUS VICTORIA M | President | 2096 SW 163RD AVENUE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| GAUS VICTORIA M | Treasurer | 2096 SW 163RD AVENUE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| GAUS VICTORIA M | Secretary | 2096 SW 163RD AVENUE, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-15 | 2096 SW 163RD AVENUE, MIRAMAR, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-15 | 2096 SW 163RD AVENUE, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-15 | 2096 SW 163RD AVENUE, MIRAMAR, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-21 |
| Domestic Profit | 2014-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
