| Entity Name: | COMMUNITY REHAB & WELLNESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jan 1998 (27 years ago) |
| Document Number: | P98000007576 |
| FEI/EIN Number | 593491615 |
| Address: | 3021 LAKELAND HIGHLANDS RD, LAKELAND, FL, 33803, US |
| Mail Address: | 53 N KINGS RD STE A, ORMOND BEACH, FL, 32176 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124026844 | 2005-07-08 | 2008-04-09 | 3021 LAKELAND HIGHLANDS RD, LAKELAND, FL, 338034339, US | 3021 LAKELAND HIGHLANDS RD, LAKELAND, FL, 338034339, US | |||||||||||||||||||||||
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| Phone | +1 863-299-2749 |
| Fax | 8632992831 |
| Phone | +1 863-688-5232 |
| Fax | 8636884153 |
Authorized person
| Name | MRS. JULIE A SIMMONS |
| Role | OFFICE ADMINISTRATOR |
| Phone | 8632992749 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT796 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| D'AVY TIM | Agent | 53 N KINGS RD STE A, ORMOND BEACH, FL, 32716 |
| Name | Role | Address |
|---|---|---|
| JUDGE JAMES D | Director | 9711 VALPARAISO DRIVE, SUITE 2, MUNSTER, IN, 46321 |
| VALENTINE VICKI L | Director | 9711 VALPARAISO DRIVE, SUITE 2, MUNSTER, IN, 46321 |
| D'AVY TIMOTHY | Director | 53 NORTH KINGS ROAD, SUITE A, ORMOND BEACH, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
