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KIDSPACE THERAPY CENTER, LLC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SOTO, RAUL, III Agent 15291 NW 60th Avenue, Suite 101, MIAMI LAKES, FL 33014

Authorized Member

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

Events

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

Documents

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