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PREMIUM REHAB SERVICES, INC

Company Details

Entity Name: PREMIUM REHAB SERVICES, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Feb 2015 (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: P15000010981
Address: 12741 SW 42 ST, SUITE#121, MIAMI, FL, 33175
Mail Address: 12741 SW 42 ST, SUITE#121, MIAMI, FL, 33175
ZIP code: 33175
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396132148 2015-04-20 2015-04-20 12741 SW 42ND ST, STE 121, MIAMI, FL, 331753429, US 12741 SW 42ND ST, STE 121, MIAMI, FL, 331753429, US

Contacts

Phone +1 305-389-0120
Fax 3056029351

Authorized person

Name JORGE L VALDEZ
Role OWNER
Phone 3053890120

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
State FL
Is Primary Yes

Agent

Name Role Address
VALDEZ JORGE L Agent 12741 SW 42 ST, MIAMI, FL, 33175

President

Name Role Address
VALDEZ JORGE L President 12741 SW 42 ST SUITE#121, MIAMI, FL, 33175

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
Domestic Profit 2015-02-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State