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VA PHYSICAL REHABILITATION CORP - Florida Company Profile

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Company Details

Entity Name: VA PHYSICAL REHABILITATION CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jul 2022 (3 years ago)
Document Number: P22000059154
FEI/EIN Number 88-3498964
Address: 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL, 33030, US
Mail Address: 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL, 33030, US
ZIP code: 33030
City: Homestead
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VALLES JUAN I President 974 OLD DIXIE HIGHWAY, HOMESTEAD, FL, 33030
VALLES JUAN I Director 974 OLD DIXIE HIGHWAY, HOMESTEAD, FL, 33030
VALLES JUAN I Agent 974 OLD DIXIE HIGHWAY, HOMESTEAD, FL, 33030

National Provider Identifier

NPI Number:
1518666494
Certification Date:
2023-02-28

Authorized Person:

Name:
MR. JUAN I VALLES
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7862922842

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-18 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 -
CHANGE OF MAILING ADDRESS 2023-01-18 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-18 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-18
Domestic Profit 2022-07-25

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Date of last update: 02 Aug 2025

Sources: Florida Department of State