| Entity Name: | MIAMI SCI WELLNESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 13 Mar 2012 (13 years ago) |
| Last Event: | REVOCATION OF VOLUNTARY DISSOLUT |
| Event Date Filed: | 18 Feb 2014 (11 years ago) |
| Document Number: | N12000002821 |
| FEI/EIN Number | 45-4856457 |
| Address: | 14241 SW 120 St, MIAMI, FL, 33186, US |
| Mail Address: | 14241 SW 120 St, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396400289 | 2021-11-04 | 2021-11-04 | 14241 SW 120TH ST STE 107, MIAMI, FL, 331867240, US | 14241 SW 120TH ST STE 107, MIAMI, FL, 331867240, US | |||||||||||||||||||||
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| Phone | +1 305-283-9717 |
| Fax | 7864311347 |
Authorized person
| Name | MORGAN GONZALEZ |
| Role | PHYSICAL THERAPIST |
| Phone | 3052839717 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY FOR HEALTH CARE ADMINISTRATION LICENSE |
| Number | 16224 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Iglesias Alfredo | Agent | 14241 SW 120 ST, Miami, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| IGLESIAS ALFREDO | Director | PO BOX 56-2004, MIAMI, FL, 332562004 |
| PIZARRO CESAR | Director | PO BOX 56-2004, MIAMI, FL, 332562004 |
| Fuentes Jose | Director | PO Box 56-2004, Miami, FL, 332562004 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000058865 | IAM ABLE | ACTIVE | 2018-05-14 | 2028-12-31 | No data | 14241 SW 120 ST, STE 107, MIAMI, FL, 33186 |
| G12000075273 | IAM ABLE FITNESS | ACTIVE | 2012-07-29 | 2027-12-31 | No data | PO BOX 56-2004, MIAMI, FL, 33256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-17 | Iglesias, Alfredo | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-17 | 14241 SW 120 ST, Ste 107, Miami, FL 33186 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-04 | 14241 SW 120 St, Ste 107, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-04 | 14241 SW 120 St, Ste 107, MIAMI, FL 33186 | No data |
| REVOCATION OF VOLUNTARY DISSOLUT | 2014-02-18 | No data | No data |
| VOLUNTARY DISSOLUTION | 2014-01-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-07-02 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-05-04 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
