| Entity Name: | PHYSICAL MEDICINE & REHAB OF BREVARD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Feb 1999 (26 years ago) |
| Document Number: | P99000018669 |
| FEI/EIN Number | 593560067 |
| Address: | 840 Executive Lane, SUITE 120, Rockledge, FL, 32955, US |
| Mail Address: | PO BOX 560727, ROCKLEDGE, FL, 32956 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| RIVERA ANTONIO | Agent | 1775 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| RIVERA ANTONIO | President | 1775 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| RIVERA PENNY | Vice President | 1775 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
