| Entity Name: | SUNSHINE REGIONAL MEDICAL & REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Dec 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Oct 2019 (5 years ago) |
| Document Number: | P16000095765 |
| FEI/EIN Number | 81-4595466 |
| Address: | 6862 W. ATLANTIC BLVD., MARGATE, FL, 33068, US |
| Mail Address: | 6862 W. ATLANTIC BLVD., MARGATE, FL, 33068, US |
| ZIP code: | 33068 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386170330 | 2017-05-11 | 2017-05-11 | 9542 SHEPARD PL, WELLINGTON, FL, 334146420, US | 6862 W ATLANTIC BLVD, MARGATE, FL, 330635045, US | |||||||||||||||||||
|
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| Phone | +1 561-929-6903 |
| Fax | 5617982775 |
Authorized person
| Name | JAGMOHAN VIROJA |
| Role | PRESIDENT |
| Phone | 5619296903 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME92681 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAZILE SERGE | Agent | 4483 N STATE RD 7, LAUDERDALE LAKES, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| KIDD DAVID J | President | 8165 N UNIVERSITY DR, TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-06-26 | 4483 N STATE RD 7, LAUDERDALE LAKES, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-26 | 6862 W. ATLANTIC BLVD., MARGATE, FL 33068 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-26 | 6862 W. ATLANTIC BLVD., MARGATE, FL 33068 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-26 | DAZILE, SERGE | No data |
| REINSTATEMENT | 2019-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-02-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-06-26 |
| ANNUAL REPORT | 2020-03-24 |
| REINSTATEMENT | 2019-10-13 |
| REINSTATEMENT | 2018-02-05 |
| Domestic Profit | 2016-12-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
