Entity Name: | THE WONDERKIDS CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 18 Oct 2018 (6 years ago) |
Document Number: | L18000245695 |
FEI/EIN Number | 83-2311188 |
Address: | 7100 WEST COMMERCIAL BLVD, 104 & 105, LAUDERHILL, FL 33319 |
Mail Address: | 7100 WEST COMMERCIAL BLVD, 104, LAUDERHILL, FL 33319 |
ZIP code: | 33319 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659942878 | 2021-07-08 | 2021-07-08 | 7100 W COMMERCIAL BLVD STE 104, LAUDERHILL, FL, 333192147, US | 7100 W COMMERCIAL BLVD STE 104, LAUDERHILL, FL, 333192147, US | |||||||||||||||||||
|
Phone | +1 754-206-2953 |
Authorized person
Name | LUIS YANCE |
Role | OWNER |
Phone | 7866020904 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | PENDING |
State | FL |
Name | Role | Address |
---|---|---|
YANCE, LUIS | Agent | 7100 WEST COMMERCIAL BLVD, 104, LAUDERHILL, FL 33319 |
Name | Role | Address |
---|---|---|
YANCE, LUIS | Manager | 1301 SW 83 AVE, MIAMI, FL 33068 |
CARBONELL, ALEXEI | Manager | 6321 SW 150 AVE, MIAMI, FL 33193 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-01-12 | 7100 WEST COMMERCIAL BLVD, 104 & 105, LAUDERHILL, FL 33319 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-03-27 |
ANNUAL REPORT | 2022-01-12 |
AMENDED ANNUAL REPORT | 2021-11-18 |
ANNUAL REPORT | 2021-03-24 |
ANNUAL REPORT | 2020-05-28 |
ANNUAL REPORT | 2019-04-30 |
Florida Limited Liability | 2018-10-18 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State