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PHYSICAL MEDICINE & REHAB OF BREVARD PA - Florida Company Profile

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Company Details

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
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RIVERA ANTONIO President 1775 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955
RIVERA PENNY Vice President 1775 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955
RIVERA ANTONIO Agent 1775 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955

National Provider Identifier

NPI Number:
1609145580

Authorized Person:

Name:
DR. ANTONIO RIVERA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
3214491172

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-07-11 840 Executive Lane, SUITE 120, Rockledge, FL 32955 -
CHANGE OF MAILING ADDRESS 2001-01-23 840 Executive Lane, SUITE 120, Rockledge, FL 32955 -

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-07-11
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-03-30

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$45,540
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,540
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$45,806.92
Servicing Lender:
Community Bank of the South
Use of Proceeds:
Payroll: $36,432
Utilities: $2,108
Rent: $7,000

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Date of last update: 03 Jul 2025

Sources: Florida Department of State