| Entity Name: | PRIME REHAB MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Nov 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P14000093781 |
| FEI/EIN Number | 47-2367330 |
| Address: | 1140 WEST 50TH STREET, 311, HIALEAH, FL, 33012 |
| Mail Address: | 1140 WEST 50TH STREET, 311, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538566948 | 2014-12-01 | 2014-12-01 | 1140 W 50TH ST, STE 311, HIALEAH, FL, 330123440, US | 1140 W 50TH ST, STE 311, HIALEAH, FL, 330123440, US | |||||||||||||||||||
|
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| Phone | +1 786-370-1659 |
| Fax | 7863701659 |
Authorized person
| Name | DR. BLANCA N GONZALEZ |
| Role | MEDICAL DIRECTOR |
| Phone | 7863701659 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME106369 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUERRA JOSUE | Agent | 1140 WEST 50TH STREET, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| GUERRA JOSUE | President | 1140 WEST 50TH STREET, SUITE 311, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2015-04-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-01 | GUERRA, JOSUE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-01 | 1140 WEST 50TH STREET, SUITE 311, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| Amendment | 2015-04-01 |
| ANNUAL REPORT | 2015-01-29 |
| Domestic Profit | 2014-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
