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BLOSSOMS THERAPY CENTER, INC.

Company Details

Entity Name: BLOSSOMS THERAPY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 29 Sep 2011 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 30 Oct 2013 (11 years ago)
Document Number: N11000009222
FEI/EIN Number 45-3510290
Address: 17755 Homestead Ave, Miami, FL 33157
Mail Address: 17755 Homestead Avenue, Miami, FL 33157
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629490909 2014-01-06 2021-07-21 1385 CORAL WAY STE 201A, MIAMI, FL, 331452941, US 326 N RIDGEWOOD DR STE C, SEBRING, FL, 338707205, US

Contacts

Phone +1 786-332-6632
Fax 3054187578

Authorized person

Name MELISA GARCIA
Role ADMINISTRATOR
Phone 7863326632

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
KORENFIELD, ADAM S Agent 2451 BRICKELL AVENUE, 15E, MIAMI, FL 33129

President

Name Role Address
Uribe, Claudia President 17755 Homestead Ave, MIAMI, FL 33157

Director

Name Role Address
PETERSON, TOM Director 5770 MILLER RD, MIAMI, FL 33155
Fredrick, Maria Director 17755 Homestead Ave, MIAMI, FL 33157

Secretary

Name Role Address
Fredrick, Maria Secretary 17755 Homestead Ave, MIAMI, FL 33157

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000056997 BLOSSOMS DEVELOPMENTAL THERAPY ASSOCIATES ACTIVE 2020-05-22 2025-12-31 No data 2266 SW 8TH STREET, MIAMI, FL, 33135--000
G17000114878 BLOSSOMS ADULT DAY CARE CENTER EXPIRED 2017-10-18 2022-12-31 No data 2933 SW 3RD AVENUE, MIAMI, FL, 33129
G16000044226 THE MATRIX MIAMI EXPIRED 2016-05-02 2021-12-31 No data 2933 SW 3RD AVENUE, MIAMI, FL, 33129
G14000063003 BLOSSOMS DEVELOPMENTAL THERAPY ASSOCIATES EXPIRED 2014-06-19 2019-12-31 No data 218-222 ALMEIRA AVENUE, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-03 17755 Homestead Ave, Miami, FL 33157 No data
CHANGE OF PRINCIPAL ADDRESS 2022-03-02 17755 Homestead Ave, Miami, FL 33157 No data
AMENDMENT 2013-10-30 No data No data
AMENDMENT 2011-12-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-06
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-01-09

Date of last update: 24 Jan 2025

Sources: Florida Department of State