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MOBILE CHIRO REHAB, INC.

Company Details

Entity Name: MOBILE CHIRO REHAB, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Jul 2019 (6 years ago)
Date of dissolution: 20 Jan 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 Jan 2020 (5 years ago)
Document Number: P19000057862
Address: 618 SW 6 ST., FORT LAUDERDALE, FL 33315 UN
Mail Address: 618 SW 6 ST., FORT LAUDERDALE, FL 33315 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518510841 2019-07-16 2019-07-16 618 SW 6TH ST, FORT LAUDERDALE, FL, 333151034, US 618 SW 6TH ST, FORT LAUDERDALE, FL, 333151034, US

Contacts

Phone +1 954-274-0396

Authorized person

Name PAIGE FUSCO
Role ASSISTANT
Phone 7723332648

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
WILNER, BRIAN Agent 618 SW 6 ST., FORT LAUDERDALE, FL 33315

President

Name Role Address
WILNER, BRIAN President 618 SW 6 ST., FORT LAUDERDALE, FL 33315 UN

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-01-20 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-01-20
Domestic Profit 2019-07-15

Date of last update: 16 Jan 2025

Sources: Florida Department of State