| Entity Name: | PROGENIC REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Oct 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Feb 2018 (7 years ago) |
| Document Number: | P16000084271 |
| FEI/EIN Number | 81-4188415 |
| Address: | 6155 NW 105 CT, DORAL, FL, 33178, US |
| Mail Address: | 6155 NW 105 CT, DORAL, FL, 33178, US |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306380217 | 2016-12-12 | 2016-12-12 | 9570 SW 107TH AVE STE 201C, MIAMI, FL, 331762791, US | 9570 SW 107TH AVE STE 201C, MIAMI, FL, 331762791, US | |||||||||||||||||||
|
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| Phone | +1 954-980-8364 |
| Fax | 7865421142 |
Authorized person
| Name | MR. THOMAS RICHARD LANGE |
| Role | PRESIDENT/CEO |
| Phone | 9549808364 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT18592 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LANGE THOMAS R | Agent | 6155 NW 105 CT, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| Lange Thomas R | President | 6155 NW 105 CT, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| Lange Thomas R | Secretary | 6155 NW 105 CT, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| Lange Thomas R | Treasurer | 6155 NW 105 CT, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| Lange Thomas R | Director | 6155 NW 105 CT, DORAL, FL, 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-09 | 6155 NW 105 CT, #8116, DORAL, FL 33178 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-09 | 6155 NW 105 CT, #8116, DORAL, FL 33178 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-14 | 6155 NW 105 CT, 5106, DORAL, FL 33178 | No data |
| REINSTATEMENT | 2018-02-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-09 | LANGE, THOMAS R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2016-11-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-06 |
| REINSTATEMENT | 2018-02-09 |
| Amendment | 2016-11-03 |
| Domestic Profit | 2016-10-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
