| Entity Name: | DR. NIURKA SANTANA & ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Oct 2003 (21 years ago) |
| Document Number: | P03000118284 |
| FEI/EIN Number | 450532386 |
| Address: | 4399 NOB HILL RD, SUNRISE, FL, 33351 |
| Mail Address: | 4399 NOB HILL RD, SUNRISE, FL, 33351, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588864516 | 2007-07-18 | 2011-11-18 | 4399 N NOB HILL RD, SUNRISE, FL, 333515813, US | 4399 N NOB HILL RD, SUNRISE, FL, 333515813, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 954-315-3405 |
| Fax | 9543157939 |
Authorized person
| Name | DR. NIURKA SANTANA |
| Role | PRESIDENT |
| Phone | 9543153405 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY6526 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER NUMBER |
| Number | K6210 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTANA NIURKA Dr. | Agent | 4399 NOB HILL RD, SUNRISE, FL, 33315 |
| Name | Role | Address |
|---|---|---|
| SANTANA NIURKA Dr. | President | 4399 NOB HILL RD, SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| Ortiz Felipe | Vice President | 4399 NOB HILL RD, SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-11-22 | 4399 NOB HILL RD, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-22 | SANTANA, NIURKA, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-30 | 4399 NOB HILL RD, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-30 | 4399 NOB HILL RD, SUNRISE, FL 33315 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-03-18 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-04-09 |
| AMENDED ANNUAL REPORT | 2015-11-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
