| Entity Name: | VA PHYSICAL REHABILITATION CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| 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 |
| Mail Address: | 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518666494 | 2023-02-28 | 2023-02-28 | 974 OLD DIXIE HWY STE A, HOMESTEAD, FL, 330304933, US | 974 OLD DIXIE HWY STE A, HOMESTEAD, FL, 330304933, US | |||||||||||||||
|
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| Phone | +1 305-778-6071 |
| Fax | 7862922842 |
Authorized person
| Name | MR. JUAN I VALLES |
| Role | PRESIDENT/OWNER |
| Phone | 3057786071 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALLES, JUAN I | Agent | 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| VALLES, JUAN I | President | 974 OLD DIXIE HIGHWAY, SUITE A HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| VALLES, JUAN I | Director | 974 OLD DIXIE HIGHWAY, SUITE A HOMESTEAD, FL 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-18 | 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-18 | 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-18 | 974 OLD DIXIE HIGHWAY, SUITE A, HOMESTEAD, FL 33030 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-18 |
| Domestic Profit | 2022-07-25 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
