| Entity Name: | AMERICAN THERAPEUTIC ASSOCIATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Mar 2000 (25 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P00000024431 |
| FEI/EIN Number | 650990498 |
| Address: | 2471 NW 72 AVENUE, MIAMI, FL, 33122, US |
| Mail Address: | 2471 NW 72 AVENUE, MIAMI, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184812497 | 2007-10-11 | 2008-09-15 | 8300 SW 8TH ST, SUITE 105, MIAMI, FL, 331444100, US | 8300 SW 8TH ST, SUITE 105, MIAMI, FL, 331444100, US | |||||||||||||||||||||||||
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| Phone | +1 305-266-9549 |
| Fax | 3052669550 |
Authorized person
| Name | MS. CYNTHIA SANCHEZ |
| Role | ADMINISTRATOR/OWNER |
| Phone | 3052669549 |
Taxonomy
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | HCC4284 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 510054200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANCHEZ CYNTHIA | Agent | 2471 N.W. 72 Avenue, MIAMI, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ CYNTHIA | President | 2471 N.W. 72 Avenue, MIAMI, FL, 33122 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000061197 | LIFESTREAM MOBILE DIAGNOSTIC | EXPIRED | 2013-06-18 | 2018-12-31 | No data | 8300 S.W. 8 STREET, SUITE 105, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-11 | 2471 N.W. 72 Avenue, MIAMI, FL 33122 | No data |
| AMENDMENT | 2013-09-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-09-12 | 2471 NW 72 AVENUE, MIAMI, FL 33122 | No data |
| CHANGE OF MAILING ADDRESS | 2013-09-12 | 2471 NW 72 AVENUE, MIAMI, FL 33122 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-11 |
| Amendment | 2013-09-12 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-03-22 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-01-22 |
| ANNUAL REPORT | 2008-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
