| Entity Name: | MARBELLA REHABILITATION CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Oct 2021 (3 years ago) |
| Document Number: | P21000086068 |
| FEI/EIN Number | 87-2931848 |
| Address: | 5101 N ARMENIA AVE, TAMPA, FL, 33603, UN |
| Mail Address: | 5101 N ARMENIA AVE, TAMPA, FL, 33603, UN |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992436901 | 2022-06-21 | 2022-06-28 | PO BOX 263248, TAMPA, FL, 336853248, US | 5101 N ARMENIA AVE STE B, TAMPA, FL, 336031405, US | |||||||||||||||
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| Phone | +1 813-353-1303 |
| Fax | 8133531304 |
Authorized person
| Name | GUSTAVO SERRANO |
| Role | MEDICAL DIRECTOR |
| Phone | 8133531303 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TUERO DOMINGUEZ ANGEL | Agent | 5101 N ARMENIA AVE, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| TUERO DOMINGUEZ ANGEL | President | 5101 N ARMENIA AVE, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-06 | 5101 N ARMENIA AVE, SUITE B1, TAMPA, FL 33603 UN | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-06 | 5101 N ARMENIA AVE, SUITE B1, TAMPA, FL 33603 UN | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-06 | TUERO DOMINGUEZ, ANGEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-06 | 5101 N ARMENIA AVE, SUITE B1, TAMPA, FL 33603 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-12 |
| AMENDED ANNUAL REPORT | 2022-05-06 |
| ANNUAL REPORT | 2022-01-28 |
| Domestic Profit | 2021-10-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
