| Entity Name: | FERNANDO RIVABEM MEDICAL AND REHAB CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Aug 2015 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P15000066651 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1150 NW 72 AVE, SUITE 580, MIAMI, FL 33126 |
| Mail Address: | 1150 NW 72 AVE, SUITE 580, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013392158 | 2015-07-29 | 2015-07-29 | 8660 W FLAGLER ST, SUITE 209, MIAMI, FL, 331442031, US | 8660 W FLAGLER ST, SUITE 209, MIAMI, FL, 331442031, US | |||||||||||||||||||||||
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| Phone | +1 305-303-2917 |
Authorized person
| Name | FERNANDO RIVABEM |
| Role | OWNER |
| Phone | 3053032917 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME79774 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME79774 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| APONTE, MIGUEL | Agent | 1150 NW 72 AVE, SUITE 580, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| RIVABEM, FERNANDO | Vice President | 1150 NW 72 AVE, SUITE 580 MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| APONTE, MIGUEL A | President | 1150 NW 72 AVE, SUITE 580 MIAMI, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-11-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-28 | 1150 NW 72 AVE, SUITE 580, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-11-28 | 1150 NW 72 AVE, SUITE 580, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-28 | 1150 NW 72 AVE, SUITE 580, MIAMI, FL 33126 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-28 | APONTE, MIGUEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-11-28 |
| Domestic Profit | 2015-08-06 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
