Entity Name: | KIDSPACE THERAPY CENTER, LLC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 05 Dec 2019 (5 years ago) |
Document Number: | L19000297083 |
FEI/EIN Number | 84-4006480 |
Address: | 15291 NW 60th Avenue. Suite 101, MIAMI LAKES, FL 33014 |
Mail Address: | 15291 NW 60th Avenue. Suite 101, MIAMI LAKES, FL 33014 |
ZIP code: | 33014 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912546433 | 2020-01-01 | 2023-11-08 | 15291 NW 60TH AVE STE 101, MIAMI LAKES, FL, 330142459, US | 15291 NW 60TH AVE STE 101, MIAMI LAKES, FL, 330142459, US | |||||||||||||||||
|
Phone | +1 305-527-4961 |
Authorized person
Name | MR. RAUL SOTO III |
Role | OWNER |
Phone | 3055274961 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SOTO, RAUL, III | Agent | 15291 NW 60th Avenue, Suite 101, MIAMI LAKES, FL 33014 |
Name | Role | Address |
---|---|---|
GONZALEZ, MERCEDES C | Authorized Member | 19161 NW 89TH AVENUE, MIAMI, FL 33018 |
GONZALEZ, PAULA P | Authorized Member | 19901 NW 79TH AVENUE, HIALEAH, FL 33015 |
Soto, Raul, III | Authorized Member | 19450 SW 30th Street, Miramar, FL 33029 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2020-05-11 | 15291 NW 60th Avenue, Suite 101, MIAMI LAKES, FL 33014 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-03-13 | 15291 NW 60th Avenue. Suite 101, MIAMI LAKES, FL 33014 | No data |
CHANGE OF MAILING ADDRESS | 2020-03-13 | 15291 NW 60th Avenue. Suite 101, MIAMI LAKES, FL 33014 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-08 |
ANNUAL REPORT | 2023-04-04 |
ANNUAL REPORT | 2022-04-23 |
ANNUAL REPORT | 2021-04-21 |
ANNUAL REPORT | 2020-05-11 |
Florida Limited Liability | 2019-12-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State