| Entity Name: | BODY & MIND REHAB MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 May 2021 (4 years ago) |
| Document Number: | P21000048687 |
| FEI/EIN Number | 86-4007903 |
| Address: | 1890 SW 57TH AVE, 104, MIAMI, FL, 33155, US |
| Mail Address: | 1890 SW 57TH AVE, 104, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841946266 | 2022-02-24 | 2023-05-22 | 1890 SW 57TH AVE STE 104, MIAMI, FL, 331552164, US | 1890 SW 57TH AVE STE 104, MIAMI, FL, 331552164, US | |||||||||||||||||||||
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| Phone | +1 786-558-5957 |
| Fax | 7865584246 |
| Fax | 7865584226 |
Authorized person
| Name | BORIS DUARTE |
| Role | OWNER |
| Phone | 7865585957 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUARTE BORIS | Agent | 1890 SW 57TH AVE, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| BORIS DUARTE | President | 1890 SW 57TH AVE, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 1890 SW 57TH AVE, 104, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 1890 SW 57TH AVE, 104, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-28 | DUARTE, BORIS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 1890 SW 57TH AVE, 104, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-07-10 |
| AMENDED ANNUAL REPORT | 2022-04-28 |
| AMENDED ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2022-01-31 |
| Domestic Profit | 2021-05-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
