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SHAKE-A-LEG MIAMI, INC.

Company Details

Entity Name: SHAKE-A-LEG MIAMI, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 05 Oct 1995 (29 years ago)
Document Number: N95000004862
FEI/EIN Number 65-0611917
Address: 2620 S BAYSHORE DRIVE, MIAMI, FL 33133
Mail Address: 2620 S BAYSHORE DRIVE, MIAMI, FL 33133
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740500503 2010-06-03 2010-06-03 2620 S BAYSHORE DR, MIAMI, FL, 331335424, US 2620 S BAYSHORE DR, MIAMI, FL, 331335424, US

Contacts

Phone +1 305-858-5550

Authorized person

Name MR. HARRY HORGAN
Role CEO
Phone 3058585550

Taxonomy

Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary No

Agent

Name Role Address
HORGAN, HARRY R Agent 2620 S. BAYSHORE DR, MIAMI, FL 33133

Chairman

Name Role Address
Bedoya, Christian Chairman 2620 S BAYSHORE DRIVE, MIAMI, FL 33133

Chief Executive Officer

Name Role Address
HORGAN, HARRY R Chief Executive Officer 7901 SW 50 CT, MIAMI, FL

President

Name Role Address
HORGAN, HARRY R President 7901 SW 50 CT, MIAMI, FL

Secretary

Name Role Address
Warshaw, Job Secretary 2620 S BAYSHORE DRIVE, MIAMI, FL 33133

Board Member

Name Role Address
Milian, David P. Board Member 2620 S BAYSHORE DRIVE, MIAMI, FL 33133
Rubin, Mike Board Member 2620 S BAYSHORE DRIVE, MIAMI, FL 33133
Bursor, Scott Board Member 2620 S BAYSHORE DRIVE, MIAMI, FL 33133
Purdy, Gregory Board Member 2620 S BAYSHORE DRIVE, MIAMI, FL 33133

Directors

Name Role Address
Denil, Nicole Directors 2620 S BAYSHORE DRIVE, MIAMI, FL 33133

Director

Name Role Address
Rodriguez, Zeke Director 2620 S BAYSHORE DRIVE, MIAMI, FL 33133

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2006-03-21 2620 S. BAYSHORE DR, MIAMI, FL 33133 No data
CHANGE OF PRINCIPAL ADDRESS 2003-08-25 2620 S BAYSHORE DRIVE, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2003-08-25 2620 S BAYSHORE DRIVE, MIAMI, FL 33133 No data
REGISTERED AGENT NAME CHANGED 2001-10-22 HORGAN, HARRY R No data

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-03-22
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State