| Entity Name: | ADVANCE REHAB SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Jul 1992 (33 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 22 Jul 1992 (33 years ago) |
| Document Number: | V51183 |
| FEI/EIN Number | 65-0347944 |
| Mail Address: | 2596 S.E. 8TH ST., POMPANO BEACH, FL 33062 |
| Address: | 7471 W OAKLAND PK BL, SUITE 103, LAUDERHILL, FL 33319 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700902160 | 2007-03-21 | 2022-09-01 | 7471 W OAKLAND PARK BLVD, SUITE 103, LAUDERHILL, FL, 333194921, US | 7471 W OAKLAND PARK BLVD, SUITE 103, LAUDERHILL, FL, 333194921, US | |||||||||||||||||||||||||
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| Phone | +1 954-748-7555 |
| Fax | 9547484910 |
Authorized person
| Name | MR. SANJIV S SHAH |
| Role | ADMINISTRATOR |
| Phone | 9547487555 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | P.T. 0003694 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 881552600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOROTA, ALAN M. | Agent | 600 CORPORATE DRIVE, SUITE 320, FORT LAUDERDALE, FL 33334 |
| Name | Role | Address |
|---|---|---|
| SHAH, SANJIV | President | 2596 S.E. 8TH ST., POMPANO BEACH, FL 33062 |
| Name | Role | Address |
|---|---|---|
| SHAH, SANJIV | Director | 2596 S.E. 8TH ST., POMPANO BEACH, FL 33062 |
| SHAH, KOMAL | Director | 2596 S.E. 8TH ST., POMPANO BEACH, FL 33062 |
| Name | Role | Address |
|---|---|---|
| SHAH, KOMAL | Secretary | 2596 S.E. 8TH ST., POMPANO BEACH, FL 33062 |
| Name | Role | Address |
|---|---|---|
| SHAH, KOMAL | Treasurer | 2596 S.E. 8TH ST., POMPANO BEACH, FL 33062 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000075214 | AMERICAN REHAB ASSOCIATES, INC | EXPIRED | 2011-07-28 | 2016-12-31 | No data | 2596 S.E. 8 STREET, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-09 | 600 CORPORATE DRIVE, SUITE 320, FORT LAUDERDALE, FL 33334 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-29 | 7471 W OAKLAND PK BL, SUITE 103, LAUDERHILL, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 1998-01-21 | 7471 W OAKLAND PK BL, SUITE 103, LAUDERHILL, FL 33319 | No data |
| REGISTERED AGENT NAME CHANGED | 1992-09-09 | SOROTA, ALAN M. | No data |
| AMENDMENT AND NAME CHANGE | 1992-07-22 | ADVANCE REHAB SERVICES, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-28 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-01-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
