Entity Name: | POLK REHABILITATION, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 22 Apr 1999 (26 years ago) |
Date of dissolution: | 25 Sep 2009 (15 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2009 (15 years ago) |
Document Number: | P99000037730 |
FEI/EIN Number | 59-3604077 |
Address: | 1326 STATE ROAD 60 EAST, SUITE 200, LAKE WALES, FL 33853 |
Mail Address: | 1326 STATE ROAD 60 EAST, SUITE 200, LAKE WALES, FL 33853 |
ZIP code: | 33853 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1376712307 | 2008-02-25 | 2008-03-13 | 1326 STATE ROAD 60 E, SUITE 200, LAKE WALES, FL, 338534322, US | 1326 STATE ROAD 60 E, SUITE 200, LAKE WALES, FL, 338534322, US | |||||||||||||
|
Phone | +1 863-679-3545 |
Authorized person
Name | YOLANDA LUIS FUENTES |
Role | PRESIDENT |
Phone | 7863704835 |
Taxonomy
Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LUIS FUENTES, YOLANDA | Agent | 749 CURTISS PARKWAY, #103, MIAMI SPRINGS, FL 33166 |
Name | Role | Address |
---|---|---|
LUIS FUENTES, YOLANDA | President | 749 CURTISS PARKWAY #103, MIAMI SPRINGS, FL 33166 |
Name | Role | Address |
---|---|---|
LUIS FUENTES, YOLANDA | Director | 749 CURTISS PARKWAY #103, MIAMI SPRINGS, FL 33166 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2008-03-14 | LUIS FUENTES, YOLANDA | No data |
REGISTERED AGENT ADDRESS CHANGED | 2008-03-14 | 749 CURTISS PARKWAY, #103, MIAMI SPRINGS, FL 33166 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2000-03-31 | 1326 STATE ROAD 60 EAST, SUITE 200, LAKE WALES, FL 33853 | No data |
CHANGE OF MAILING ADDRESS | 2000-03-31 | 1326 STATE ROAD 60 EAST, SUITE 200, LAKE WALES, FL 33853 | No data |
AMENDMENT AND NAME CHANGE | 1999-10-25 | POLK REHABILITATION, INC. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2008-03-14 |
ANNUAL REPORT | 2008-02-11 |
ANNUAL REPORT | 2007-03-09 |
ANNUAL REPORT | 2006-01-27 |
ANNUAL REPORT | 2005-01-24 |
ANNUAL REPORT | 2004-01-27 |
ANNUAL REPORT | 2003-01-13 |
ANNUAL REPORT | 2002-07-15 |
ANNUAL REPORT | 2001-01-11 |
ANNUAL REPORT | 2000-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State