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FLORIDA THERAPY ASSOC, INC.

Company Details

Entity Name: FLORIDA THERAPY ASSOC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Mar 2005 (20 years ago)
Document Number: P05000048251
FEI/EIN Number 542175251
Address: 9370 SW 72 Street, SUITE A-213, MIAMI, FL, 33173, US
Mail Address: 9370 SW 72 Street, SUITE A-213, MIAMI, FL, 33173, US
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427504836 2016-08-27 2016-08-27 9370 SW 72ND ST STE A213, MIAMI, FL, 331735452, US 9370 SW 72 ST, SUITE A-213, MIAMI, FL, 33173, US

Contacts

Phone +1 786-429-5139
Fax 3054337301

Authorized person

Name ROSA M VIDAL
Role DIRECTOR
Phone 7864295139

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH6443
State FM
Is Primary Yes

Agent

Name Role Address
VIDAL ROSA M Agent 9370 SW 72 Street, MIAMI, FL, 33173

Director

Name Role Address
VIDAL ROSA M Director 9370 SW 72 Street, MIAMI, FL, 33173

Vice President

Name Role Address
Vidal Florencio B Vice President 9370 S.W. 72 Street, Miami, FL, 33173

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-24 9370 SW 72 Street, SUITE A-213, MIAMI, FL 33173 No data
CHANGE OF MAILING ADDRESS 2016-04-24 9370 SW 72 Street, SUITE A-213, MIAMI, FL 33173 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-24 9370 SW 72 Street, SUITE A-213, MIAMI, FL 33173 No data
REGISTERED AGENT NAME CHANGED 2006-02-05 VIDAL, ROSA M No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-03-29
ANNUAL REPORT 2022-02-26
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-24
ANNUAL REPORT 2015-03-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State