| Entity Name: | CARROLLWOOD FAMILY MEDICAL & REHABILITATION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Jun 1998 (27 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P98000049191 |
| FEI/EIN Number | 59-3513986 |
| Address: | 13014 N. Dale Mabry Hwy #809, TAMPA, FL 33618 |
| Mail Address: | 13014 N. Dale Mabry HWY #809, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316156813 | 2007-05-21 | 2020-08-22 | 13301 ORANGE GROVE DR, TAMPA, FL, 336182915, US | 13301 ORANGE GROVE DR, TAMPA, FL, 336182915, US | |||||||||||||||||||
|
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| Phone | +1 813-960-8866 |
| Fax | 8139618384 |
Authorized person
| Name | BARRY D SHAPIRO,D.C.,P.A. |
| Role | CLINIC DIRECTOR |
| Phone | 8139608866 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 2081H0002X - Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, BARRY D | Agent | 13014 N Dale Mabry HWY #809, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, BARRY D | Director | 13014 N Dale Mabry HWY #809, TAMPA, FL 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-10 | 13014 N Dale Mabry HWY #809, TAMPA, FL 33618 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-10 | 13014 N. Dale Mabry Hwy #809, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-10 | 13014 N. Dale Mabry Hwy #809, TAMPA, FL 33618 | No data |
| CANCEL ADM DISS/REV | 2006-05-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1999-05-04 | SHAPIRO, BARRY D | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 1998-06-10 | CARROLLWOOD FAMILY MEDICAL & REHABILITATION CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2014-04-06 |
| ANNUAL REPORT | 2013-04-21 |
| ANNUAL REPORT | 2012-01-10 |
| ANNUAL REPORT | 2011-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
