| Entity Name: | MEDICAL SPECIALISTS OF THE PALM BEACHES REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Nov 1997 (27 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P97000096525 |
| FEI/EIN Number | 650793195 |
| Address: | 5401 CONGRESS AVE, SUITE #105, ATLANTIS, FL, 33462, US |
| Mail Address: | 5700 LAKE WORTH ROAD, SUITE #204, LAKE WORTH, FL, 33463, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558430850 | 2006-11-08 | 2010-09-02 | 5700 LAKE WORTH RD, # 204, GREENACRES, FL, 334634727, US | 5401 S CONGRESS AVE, # 105, ATLANTIS, FL, 334626635, US | |||||||||||||||||||
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| Phone | +1 561-968-7968 |
| Fax | 5619644603 |
| Phone | +1 561-642-8500 |
| Fax | 5616428404 |
Authorized person
| Name | MANNY FERNANDEZ |
| Role | CEO |
| Phone | 5619687968 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STROMBOM ELIZABETH CEO | Agent | 5700 LAKE WORTH RD, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| STROMBOM ELIZABETH | Chief Executive Officer | 5700 LAKE WORTH ROAD, #204, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| Heron James MD | President | 5700 LAKE WORTH ROAD, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| VON SOHSTEN ROBERTO MD | Treasurer | 5700 LAKE WORTH ROAD, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| Rybicki Penny | Cont | 5700 LAKE WORTH ROAD, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| Weiner Eric MD | Director | 5700 Lake Worth Road, Lake Worth, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| Sherman Frederick MD | Vice President | 5700 Lake Worth Road, Lake Worth, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-05-01 | STROMBOM, ELIZABETH, CEO | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-25 | 5401 CONGRESS AVE, SUITE #105, ATLANTIS, FL 33462 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-03-16 | 5700 LAKE WORTH RD, SUITE 204, LAKE WORTH, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 1998-05-18 | 5401 CONGRESS AVE, SUITE #105, ATLANTIS, FL 33462 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-03-16 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-04-19 |
| ANNUAL REPORT | 2011-02-21 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-05-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
