| Entity Name: | MIND AND BODY THERAPEUTIC SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Aug 2000 (24 years ago) |
| Document Number: | P00000078415 |
| FEI/EIN Number | 651044714 |
| Address: | 4222 JOHNSON STREET, HOLLYWOOD, FL, 33021 |
| Mail Address: | 4222 JOHNSON STREET, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427114206 | 2006-12-28 | 2020-08-22 | 4222 JOHNSON ST, HOLLYWOOD, FL, 330215306, US | 4222 JOHNSON ST, HOLLYWOOD, FL, 330215306, US | |||||||||||||||||||
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| Phone | +1 954-322-9986 |
| Fax | 9543226839 |
Authorized person
| Name | ANDREA CATANIA-TORRES |
| Role | VICE PRESIDENT |
| Phone | 9543229986 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT9430 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIFORE CHRISTINE M | Agent | 14201 W. SUNRISE ST, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| TORRES MANUEL | President | 4222 JOHNSON STREET, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| TORRES ANDREA | Vice President | 4222 JOHNSON STREET, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-07-30 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2007-07-16 | MIND AND BODY THERAPEUTIC SERVICES, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
