Entity Name: | SOUTH FLORIDA EARLY INTERVENTION INSTITUTE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 24 Feb 2014 (11 years ago) |
Date of dissolution: | 25 Sep 2015 (9 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2015 (9 years ago) |
Document Number: | L14000031969 |
Address: | 1550 MADRUGA AVE.,, SUITE 332, CORAL GABLES, FL 33146 |
Mail Address: | 1550 MADRUGA AVE.,, SUITE 332, CORAL GABLES, FL 33146 |
ZIP code: | 33146 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1063838704 | 2014-03-05 | 2014-03-05 | 1550 MADRUGA AVE, SUITE 332, CORAL GABLES, FL, 331463039, US | 1550 MADRUGA AVE, SUITE 332, CORAL GABLES, FL, 331463039, US | |||||||||||||||||||||||||
|
Phone | +1 786-205-1741 |
Authorized person
Name | INGRID ROMAN |
Role | MGR |
Phone | 7862051741 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | LICENSE |
Number | PY8212 |
State | FL |
Issuer | LICENSE |
Number | PY8783 |
State | FL |
Name | Role | Address |
---|---|---|
MARTINEZ, ANTONIO L, ESQ | Agent | 2600 S. DOUGLAS ROAD SUITE 305, MIAMI, FL 33134 |
Name | Role | Address |
---|---|---|
MARTINEZ, GRETTEL | Manager | 1550 MADRUGA AVE.,, SUITE 332 CORAL GABLES, FL 33146 |
ROMAN, INGRID | Manager | 1550 MADRUGA AVE.,, SUITE 332 CORAL GABLES, FL 33146 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-03-10 | 1550 MADRUGA AVE.,, SUITE 332, CORAL GABLES, FL 33146 | No data |
CHANGE OF MAILING ADDRESS | 2014-03-10 | 1550 MADRUGA AVE.,, SUITE 332, CORAL GABLES, FL 33146 | No data |
Name | Date |
---|---|
Florida Limited Liability | 2014-02-24 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State