| Entity Name: | A3L BLUE THERAPY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Oct 2023 (a year ago) |
| Document Number: | L23000492931 |
| FEI/EIN Number | 93-4196457 |
| Address: | 3220 SW 107 TH CT, MIAMI, FL 33165 ES |
| Mail Address: | 3220 SW 107 TH CT, MIAMI, FL 33165 ES |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336914068 | 2023-11-22 | 2023-11-22 | 3220 SW 107TH CT, MIAMI, FL, 331653610, US | 3220 SW 107TH CT, MIAMI, FL, 331653610, US | |||||||||||||
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| Phone | +1 786-332-1678 |
Authorized person
| Name | LAURA PEREZ CARDENAS |
| Role | OWNER |
| Phone | 7863321678 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ CARDENAS, LAURA | Agent | 3220 SW 107 TH CT, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| PEREZ CARDENAS, LAURA | Manager | 3220 SW 107 TH CT, MIAMI, FL 33165 ES |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| Florida Limited Liability | 2023-10-30 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
