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PHYSICAL REHAB AND MEDICAL ASSOCIATES INC

Company Details

Entity Name: PHYSICAL REHAB AND MEDICAL ASSOCIATES INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 12 Mar 2015 (10 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: P15000024158
FEI/EIN Number 47-3396849
Address: 1861 S. Patrick Dr, Suite 137, SUITE 117, Indian Harbour Beach, FL 32937
Mail Address: 1861 S Patrick Rd, Suite 137, Indian Harbour Beach, FL 32937
ZIP code: 32937
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073059705 2017-01-19 2017-01-19 1861 S PATRICK DR, #137, INDIAN HARBOUR BEACH, FL, 329374377, US 6300 N WICKHAM RD, #116, MELBOURNE, FL, 329402028, US

Contacts

Phone +1 321-757-6899
Fax 3217576859

Authorized person

Name MRS. NICOLE M ESPINOZA
Role PRACTICE MANAGER
Phone 3217576899

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
State FL
Is Primary Yes

Agent

Name Role Address
BUBBERS, BILL Agent 380 N COURTNEY AVE, MERRITT ISLAND, FL 32953

President

Name Role Address
SCHRUMPF, TERRY President 1861 S. Patrick Dr, Suite 137 Indian Harbour Beach, FL 32937

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-05 1861 S. Patrick Dr, Suite 137, SUITE 117, Indian Harbour Beach, FL 32937 No data
REINSTATEMENT 2016-12-13 No data No data
CHANGE OF MAILING ADDRESS 2016-12-13 1861 S. Patrick Dr, Suite 137, SUITE 117, Indian Harbour Beach, FL 32937 No data
REGISTERED AGENT NAME CHANGED 2016-12-13 BUBBERS, BILL No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-02-13
REINSTATEMENT 2016-12-13
Domestic Profit 2015-03-12

Date of last update: 21 Jan 2025

Sources: Florida Department of State