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POLK REHABILITATION, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LUIS FUENTES, YOLANDA Agent 749 CURTISS PARKWAY, #103, MIAMI SPRINGS, FL 33166

President

Name Role Address
LUIS FUENTES, YOLANDA President 749 CURTISS PARKWAY #103, MIAMI SPRINGS, FL 33166

Director

Name Role Address
LUIS FUENTES, YOLANDA Director 749 CURTISS PARKWAY #103, MIAMI SPRINGS, FL 33166

Events

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

Documents

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