| Entity Name: | REVIVE MEDICAL & REHAB INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jun 2019 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P19000047483 |
| FEI/EIN Number | 84-1835118 |
| Address: | 7125 MARINER BLVD, SPRING HILL, FL, 34609, UN |
| Mail Address: | 7125 MARINER BLVD, SPRING HILL, FL, 34609, UN |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740849132 | 2019-06-10 | 2019-09-23 | 7125 MARINER BLVD, SPRING HILL, FL, 346091048, US | 7125 MARINER BLVD, SPRING HILL, FL, 346091048, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-515-1731 |
Authorized person
| Name | GABRIEL ALLEN BOZE |
| Role | EMPLOYEE |
| Phone | 3525151731 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOZE GABRIEL | Agent | 7125 MARINER BLVD, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| BOZE GABRIEL ADC | President | 7125 MARINER BLVD, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-11 |
| Domestic Profit | 2019-06-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
