| Entity Name: | CENTRAL FLORIDA THERAPIST & REHABILITATIVE GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Dec 1998 (26 years ago) |
| Document Number: | P98000107901 |
| FEI/EIN Number | 59-3553308 |
| Address: | 7380 SW 60TH AVENUE, SUITE 3, OCALA, FL 34476 |
| Mail Address: | 7380 SW 60TH AVENUE, SUITE 3, OCALA, FL 34476 |
| ZIP code: | 34476 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013945757 | 2006-06-30 | 2012-09-06 | 7380 SW 60TH AVE, STE 3, OCALA, FL, 344766467, US | 7380 SW 60TH AVE, STE 3, OCALA, FL, 344766467, US | |||||||||||||||||||||||||
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| Phone | +1 352-840-0004 |
| Fax | 3528732631 |
Authorized person
| Name | MR. RAIFU ADEWALE OLORUNFEMI |
| Role | DIRECTOR OF REHABILITATIVE SERVICES |
| Phone | 3528400004 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT12870 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 885832200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLORUNFEMI, DAMITA | Agent | 7380 SW 60TH AVENUE, SUITE 3, OCALA, FL 34476 |
| Name | Role | Address |
|---|---|---|
| OLORUNFEMI, RAIFU | Director | 8820 SW 14TH AVENUE, OCALA, FL 34476 |
| Name | Role | Address |
|---|---|---|
| OLORUNFEMI, RAIFU | President | 8820 SW 14TH AVENUE, OCALA, FL 34476 |
| Name | Role | Address |
|---|---|---|
| Olorunfemi, Damita, Office Manager | Office Manager | 8820 SW 14 th Ave, Ocala, FL 34476 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-29 | 7380 SW 60TH AVENUE, SUITE 3, OCALA, FL 34476 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-29 | 7380 SW 60TH AVENUE, SUITE 3, OCALA, FL 34476 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-29 | 7380 SW 60TH AVENUE, SUITE 3, OCALA, FL 34476 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-01-08 | OLORUNFEMI, DAMITA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-06-09 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
