| Entity Name: | SOUTHERN ADVANCED REHABILITATION, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Apr 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: | P15000038337 |
| FEI/EIN Number | 47-3906833 |
| Address: | 10723 CORY LAKE DRIVE, TAMPA, FL 33647 |
| Mail Address: | 10723 CORY LAKE DRIVE, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679956841 | 2015-07-07 | 2015-07-07 | 10723 CORY LAKE DR, TAMPA, FL, 336472725, US | 10723 CORY LAKE DR, TAMPA, FL, 336472725, US | |||||||||||||||||||
|
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| Phone | +1 813-986-4648 |
| Fax | 8139864648 |
Authorized person
| Name | DR. JOSE MANUEL MEDINA |
| Role | PRESIDENT & DIRECTOR |
| Phone | 8139864648 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME107516 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAMOS, JOSE S | Agent | 2344 CRESTOVER LANE, WESLEY CHAPEL, FL 33544 |
| Name | Role | Address |
|---|---|---|
| MEDINA, JOSE M | President | 10723, CORY LAKE DRIVE TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| MEDINA, JOSE M | Director | 10723, CORY LAKE DRIVE TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| ORTEGA, YELITZA | Secretary | 10723, CORY LAKE DRIVE TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| ORTEGA, YELITZA | Treasurer | 10723, CORY LAKE DRIVE TAMPA, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-07-25 |
| Domestic Profit | 2015-04-24 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
