| Entity Name: | NEW MEDICAL AND REHABILITATION, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jun 2024 (8 months ago) |
| Document Number: | P24000040501 |
| Address: | 1833 S. OCEAN DR, 712, HALLANDALE, FL, 33009 |
| Mail Address: | 2184 BEAVER CREEK, VERNON HILLS, IL, 60061 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023856077 | 2024-07-15 | 2024-08-08 | 2184 BEAVER CREEK DR, VERNON HILLS, IL, 600613813, US | 1307 S TAMIAMI TRL, OSPREY, FL, 342298901, US | |||||||||||||
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| Phone | +1 847-668-6372 |
Authorized person
| Name | TAMARA GUREVICH |
| Role | PROVIDER/OWNER |
| Phone | 8476686372 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VODOVOZ VIKTORIA | Agent | 1833 S. OCEAN DR, HALLANDALE, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| GUREVICH TAMARA | President | 2184 BEAVER CREEK, VERNON HILLS, IL, 60061 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-06-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
