| Entity Name: | PORRAS PHYSICAL THERAPY AND REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 May 1999 (26 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P99000045061 |
| FEI/EIN Number | 593577392 |
| Address: | 1282 WILD ROSE DR NE, PALM BAY, FL, 32905, US |
| Mail Address: | 1282 WILD ROSE DR, PALM BAY, FL, 32905, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164675104 | 2008-11-03 | 2008-11-03 | 1282 WILD ROSE DR NE, PALM BAY, FL, 329054310, US | 1282 WILD ROSE DR NE, PALM BAY, FL, 329054310, US | |||||||||||||||||||||
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| Phone | +1 321-676-9033 |
| Fax | 3216769033 |
Authorized person
| Name | MARCOS PORRAS |
| Role | PRESIDENT |
| Phone | 3216769033 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | Y8221 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PORRAS MARCOS | Agent | 1282 WILD ROSE DR, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| PORRAS MARCOS | President | 1282 WILD ROSE DR, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| PORRAS MARCOS | Secretary | 1282 WILD ROSE DR, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-17 | 1282 WILD ROSE DR NE, PALM BAY, FL 32905 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-10 | 1282 WILD ROSE DR, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2004-08-27 | 1282 WILD ROSE DR NE, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-03-16 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-05-14 |
| ANNUAL REPORT | 2006-03-22 |
| ANNUAL REPORT | 2005-03-10 |
| ANNUAL REPORT | 2004-08-27 |
| ANNUAL REPORT | 2003-05-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
