| Entity Name: | DE LA ROSA WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Sep 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 May 2024 (9 months ago) |
| Document Number: | L16000181151 |
| FEI/EIN Number | 81-4697137 |
| Address: | 282 Westward Dr., Miami Springs, FL 33166 |
| Mail Address: | 282 Westward Dr., Miami Springs, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013456805 | 2017-02-14 | 2017-02-20 | 7392 NW 35TH TER STE 310, MIAMI, FL, 331221260, US | 7392 NW 35TH TER STE 310, MIAMI, FL, 331221260, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-360-2046 |
Authorized person
| Name | MR. MARIO DE LA ROSA |
| Role | PRESIDENT |
| Phone | 7863602046 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | MA35823 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | MA35823 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | MA35823 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DE LA ROSA, MARIO | Agent | 282 Westward Dr, Miami Springs, FL 33166 |
| Name | Role | Address |
|---|---|---|
| Ferrera, Yanet | Authorized Member | 282 Westward Dr, Miami Springs, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-05-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-09 | 282 Westward Dr., Miami Springs, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-09 | 282 Westward Dr., Miami Springs, FL 33166 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-09 | DE LA ROSA, MARIO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-09 | 282 Westward Dr, Miami Springs, FL 33166 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-05-09 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-02-20 |
| Florida Limited Liability | 2016-09-28 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
