| Entity Name: | MARY XIAOLIN TAN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Feb 2000 (25 years ago) |
| Document Number: | P00000016085 |
| FEI/EIN Number | 651004558 |
| Address: | 6601 SW 80TH STREET, MIAMI, FL, 33143, US |
| Mail Address: | 6601 SW 80TH STREET, MIAMI, FL, 33143, US |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528612561 | 2019-07-29 | 2019-07-29 | 6601 SW 80TH ST STE 113, MIAMI, FL, 331434661, US | 6601 SW 80TH ST STE 113, MIAMI, FL, 331434661, US | |||||||||||||||||||
|
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| Phone | +1 305-665-5056 |
Authorized person
| Name | XIAOLIN TAN |
| Role | ACUPUNCTURIST |
| Phone | 3056655056 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1588993364 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| XIAOLIN TAN | Agent | 6601 SW 80TH STREET, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| TAN XIAOLIN | President | 6601 SW 80TH STREET, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| TAN XIAOLIN | Director | 6601 SW 80TH STREET, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| Pan Xiaoou | Vice President | 6601 SW 80TH STREET, MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-15 | 6601 SW 80TH STREET, SUITE 113, MIAMI, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-15 | 6601 SW 80TH STREET, SUITE 113, MIAMI, FL 33143 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-15 | 6601 SW 80TH STREET, SUITE 113, MIAMI, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
