| Entity Name: | FLORIDA INSTITUTE OF REHABILITATION & SPORTS TRAINING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jul 1995 (30 years ago) |
| Document Number: | P95000052675 |
| FEI/EIN Number | 65-0722790 |
| Address: | 1920 PALM BEACH LAKES BLVD, 110, WEST PALM BEACH, FL 33409 |
| Mail Address: | 1920 PALM BEACH LAKES BLVD, 110, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245394741 | 2006-12-20 | 2020-08-22 | 1920 PALM BEACH LAKES BLVD, SUITE 110, WEST PALM BEACH, FL, 334093512, US | 1920 PALM BEACH LAKES BLVD, SUITE 110, WEST PALM BEACH, FL, 334093512, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-688-7911 |
| Fax | 5616882498 |
Authorized person
| Name | MR. MICHAEL TIMOTHY NICHOLS |
| Role | CEO |
| Phone | 5616887911 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICHOLS, MICHAEL T | Agent | 1920 PALM BEACH LAKES BOULEVARD, SUITE 110, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| NICHOLS, MICHAEL T | Chief Executive Officer | 733 TEAL WAY, N PALM BEACH, FL 33408 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000057289 | FIRST REHAB | ACTIVE | 2012-06-12 | 2027-12-31 | No data | 1920 PALM BEACH LAKES BLVD., SUITE 110, SUITE 110, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-24 | 1920 PALM BEACH LAKES BLVD, 110, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-24 | 1920 PALM BEACH LAKES BLVD, 110, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-11-02 | NICHOLS, MICHAEL T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-11-02 | 1920 PALM BEACH LAKES BOULEVARD, SUITE 110, WEST PALM BEACH, FL 33409 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000292614 | TERMINATED | 1000000567380 | PALM BEACH | 2014-01-22 | 2024-03-13 | $ 1,073.81 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD19E 100 |
| J13000661984 | TERMINATED | 1000000441799 | PALM BEACH | 2013-03-06 | 2023-04-04 | $ 420.54 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J12000484611 | TERMINATED | 1000000276163 | PALM BEACH | 2012-05-09 | 2032-06-13 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J12000507031 | TERMINATED | 1000000276162 | PALM BEACH | 2012-05-09 | 2032-07-05 | $ 497.04 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| J12000360209 | ACTIVE | 1000000271918 | LEON | 2012-04-24 | 2032-05-02 | $ 1,313.28 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
