| Entity Name: | VITALOGY REHAB SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Dec 2020 (4 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: | P21000002344 |
| Address: | 7550 60TH WAY N, PINELLAS PARK, FL, 33781, US |
| Mail Address: | 7550 60TH WAY N, PINELLAS PARK, FL, 33781, US |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194393413 | 2021-06-14 | 2021-06-14 | 7550 60TH WAY N, PINELLAS PARK, FL, 337813216, US | 7550 60TH WAY N, PINELLAS PARK, FL, 337813216, US | |||||||||||||||
|
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| Phone | +1 727-541-4239 |
| Fax | 7275469351 |
Authorized person
| Name | SHAWN ALLEN FOURMAN |
| Role | ADMINISTRATOR |
| Phone | 7275414239 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| HARB HAIFA | President | 7550 60TH WAY N, PINELLAS PARK, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| HARB HAIFA | Secretary | 7550 60TH WAY N, PINELLAS PARK, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| HARB HAIFA | Treasurer | 7550 60TH WAY N, PINELLAS PARK, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| HARB HAIFA | Director | 7550 60TH WAY N, PINELLAS PARK, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2020-12-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
