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FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC.

Company Details

Entity Name: FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Apr 1992 (33 years ago)
Document Number: V32031
FEI/EIN Number 592523283
Address: 5504 NW 77th Terrace, Coral Springs, FL, 33067, US
Mail Address: 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067, US
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043341407 2007-03-08 2010-10-28 5504 NW 77TH TER, CORAL SPRINGS, FL, 330672014, US 3591 N ANDREWS AVE, SUITE 5E, OAKLAND PARK, FL, 333095289, US

Contacts

Phone +1 954-473-6473
Fax 9543453411

Authorized person

Name MR. ASHWANI KUMAR WADHWA
Role ADM
Phone 9544736473

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number 3666
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA REHABILITATION CENTER 401(K) RETIREMENT TRUST 2014 592523283 2015-01-27 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067
FLORIDA REHABILTATION CENTER 401(K) RETIREMENT TRUST 2013 592523283 2014-07-07 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067
FLORIDA REHABILTATION CENTER 401(K) RETIREMENT TRUST 2012 592523283 2013-09-25 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Signature of

Role Plan administrator
Date 2013-09-25
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-25
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
FLORIDA REHABILTATION CENTER 401(K) RETIREMENT TRUST 2011 592523283 2012-10-12 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address

Administrator’s EIN 592523283
Plan administrator’s name FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC.
Plan administrator’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9544736473

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
FLORIDA REHABILTATION CENTER 401(K) RETIREMENT TRUST 2010 592523283 2011-05-25 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address

Administrator’s EIN 592523283
Plan administrator’s name FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC.
Plan administrator’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9544736473

Signature of

Role Plan administrator
Date 2011-05-25
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
FLORIDA REHABILTATION CENTER 401(K) RETIREMENT TRUST 2009 592523283 2010-09-05 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address

Administrator’s EIN 592523283
Plan administrator’s name FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC.
Plan administrator’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9544736473

Signature of

Role Plan administrator
Date 2010-09-04
Name of individual signing ASHWANI WADHWA
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-04
Name of individual signing ASHWANI WADHWA
Valid signature Filed with incorrect/unrecognized electronic signature
FLORIDA REHABILTATION CENTER 401(K) RETIREMENT TRUST 2009 592523283 2010-09-09 FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9544736473
Plan sponsor’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address

Administrator’s EIN 592523283
Plan administrator’s name FLORIDA REHABILITATION CENTER OF BROWARD COUNTY, INC.
Plan administrator’s address 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9544736473

Signature of

Role Plan administrator
Date 2010-09-09
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-09
Name of individual signing ASHWANI WADHWA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WADHWA POONAM Agent 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Administrator

Name Role Address
WADHWA ASHWANI K Administrator 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Manager

Name Role Address
WADHWA POONAM Manager 5504 NW 77TH TERRACE, CORAL SPRINGS, FL, 33067

Date of last update: 01 Jan 2025

Sources: Florida Department of State