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AWESENSE REHAB CORP

Company Details

Entity Name: AWESENSE REHAB CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 May 2018 (7 years ago)
Document Number: P18000044123
FEI/EIN Number 83-0558161
Address: 198 WEST 17TH ST, HIALEAH, FL, 33010
Mail Address: 198 WEST 17TH ST, HIALEAH, FL, 33010
ZIP code: 33010
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861984510 2018-05-30 2018-05-30 198 W 17TH ST, HIALEAH, FL, 330103026, US 198 W 17TH ST, HIALEAH, FL, 330103026, US

Contacts

Phone +1 305-491-5535

Authorized person

Name NIURKA MEDINA
Role PRESIDENT
Phone 3054915535

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number SA16191
State FL
Is Primary Yes

Agent

Name Role Address
MEDINA ERICK A Agent 198 WEST 17TH ST, HIALEAH, FL, 33010

President

Name Role Address
MEDINA ERICK A President 198 WEST 17TH ST, HIALEAH, FL, 33010

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-03-20
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-03-23
Domestic Profit 2018-05-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State