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SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC

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Company Details

Name: SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 23 Dec 1996 (28 years ago)
Business ID: 637055
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Collipp, David C Agent One Layfair Drive, Suite 100, Flowood, MS 39232

Member

Name Role Address
STUART A YABLON Member 1350 E WOODROW WILSON DR, JACKSON, MS 39215
RAHUL VOHRA Member ONE LAYFAIR DR, JACKSON, MS 39208
MICHAEL WINKELMANN Member ONE LAYFAIR DR, JACKSON, MS 39208

National Provider Identifier

NPI Number:
1063507549

Authorized Person:

Name:
RAHUL VOHRA
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
6014201931

Form 5500 Series

Employer Identification Number (EIN):
640885652
Plan Year:
2011
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
19
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Amendment Form Filed 2006-05-18 Amendment
Amendment Form Filed 2003-05-30 Amendment
Name Reservation Form Filed 1996-12-23 Name Reservation

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Date of last update: 30 Apr 2025

Sources: Company Profile on Mississippi Secretary of State Website