Entity Name: | GABLES REHAB, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Apr 1995 (30 years ago) |
Document Number: | P95000032016 |
FEI/EIN Number | 650572720 |
Address: | 780 NW 42ND AVE, MIAMI, FL, 33126-5536, US |
Mail Address: | 780 NW 42ND AVE, Miami, FL, 33126-5536, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568559508 | 2006-10-10 | 2010-05-25 | 760 PONCE DE LEON BLVD, SUITE 100A, CORAL GABLES, FL, 331342075, US | 760 PONCE DE LEON BLVD, SUITE 100A, CORAL GABLES, FL, 331342075, US | |||||||||||||||
|
Phone | +1 305-448-2442 |
Fax | 3055299944 |
Authorized person
Name | MR. WILFRED BRACERAS |
Role | PRESIDENT |
Phone | 3058638860 |
Taxonomy
Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRACERAS WILFRED | Agent | 780 NW 42ND AVE, Miami, FL, 331265536 |
Name | Role | Address |
---|---|---|
BRACERAS WILFRED | President | 780 NW 42ND AVE, Miami, FL, 331265536 |
Name | Role | Address |
---|---|---|
BRACERAS WILFRED | Treasurer | 780 NW 42ND AVE, Miami, FL, 331265536 |
Name | Role | Address |
---|---|---|
BRACERAS WILFRED | Clerk | 780 NW 42ND AVE, Miami, FL, 331265536 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 1997-06-16 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State