| Entity Name: | 369 MEDICAL REHAB CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 2023 (2 years ago) |
| Document Number: | P23000021111 |
| FEI/EIN Number | 92-3032299 |
| Address: | 951 SW 122 AVE, MIAMI, FL, 33184 |
| Mail Address: | 951 SW 122 AVE, MIAMI, FL, 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114790383 | 2023-10-31 | 2023-11-21 | 951 SW 122ND AVE, MIAMI, FL, 331842406, US | 951 SW 122ND AVE, MIAMI, FL, 331842406, US | |||||||||||||||
|
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| Phone | +1 305-400-8299 |
| Fax | 3054008551 |
Authorized person
| Name | ROBIEL RODRIGUEZ |
| Role | AUTHORIZED OFFICIAL |
| Phone | 9143148479 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ JAVIER | Agent | 951 SW 122 AVE, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| DIAZ JAVIER | President | 951 SW 122 AVE, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-09-05 | DIAZ, JAVIER | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-05 |
| ANNUAL REPORT | 2024-03-05 |
| Domestic Profit | 2023-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
