| Entity Name: | SOUTH MIAMI PAIN & REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Jun 1998 (27 years ago) |
| Document Number: | P98000050571 |
| FEI/EIN Number | 650840771 |
| Address: | 468 W 51 PLACE, HIALEAH, FL, 33012 |
| Mail Address: | 468 W 51 PLACE, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093718132 | 2005-05-23 | 2009-04-29 | 468 W 51ST PL, HIALEAH, FL, 330123620, US | 468 W 51ST PL, HIALEAH, FL, 330123620, US | |||||||||||||||
|
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| Phone | +1 305-819-7770 |
| Fax | 9544730211 |
Authorized person
| Name | MR. ANTHONY DELACRUZ |
| Role | PRESIDENT |
| Phone | 3058197770 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELACRUZ ANTHONY P | Agent | 468 W. 51 PLACE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| REY RAFAEL R | President | 468 W 51 PLACE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| REY RAFAEL R | Director | 468 W 51 PLACE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| DELACRUZ ANTHONY V | Vice President | 468 W 51 PLACE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2009-01-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000592597 | TERMINATED | 1000000232599 | DADE | 2011-09-12 | 2021-09-14 | $ 2,866.69 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
