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GERARDO SANTOS PSYD P.A.

Company Details

Entity Name: GERARDO SANTOS PSYD P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 11 Jul 2007 (18 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: P07000079405
FEI/EIN Number 26-1171118
Address: 6625 MIAMI LAKES DRIVE, SUITE # 326, MIAMI LAKES, FL 33014
Mail Address: 6625 MIAMI LAKES DRIVE, SUITE # 326, MIAMI LAKES, FL 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154510212 2007-10-15 2007-10-15 6625 MIAMI LAKES DR, SUITE 326, MIAMI LAKES, FL, 330142708, US 6625 MIAMI LAKES DR, SUITE 326, MIAMI LAKES, FL, 330142708, US

Contacts

Phone +1 305-777-3881
Fax 3057773802

Authorized person

Name GERARDO SANTOS
Role PRESIDENT
Phone 3057773881

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number PY7282
State FL

Agent

Name Role Address
GERARDO, SANTOS PSYD Agent 6625 MIAMI LAKES DRIVE, SUITE 326, MIAMI LAKES, FL 33014

President

Name Role Address
SANTOS, GERARDO PSYD President 6625 MIAMI LAKES DRIVE, STE 326, MIAMI LAKES, FL 33014

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-01-29 6625 MIAMI LAKES DRIVE, SUITE # 326, MIAMI LAKES, FL 33014 No data
CHANGE OF MAILING ADDRESS 2013-01-29 6625 MIAMI LAKES DRIVE, SUITE # 326, MIAMI LAKES, FL 33014 No data
REGISTERED AGENT ADDRESS CHANGED 2012-02-06 6625 MIAMI LAKES DRIVE, SUITE 326, MIAMI LAKES, FL 33014 No data
NAME CHANGE AMENDMENT 2007-08-21 GERARDO SANTOS PSYD P.A. No data

Documents

Name Date
ANNUAL REPORT 2016-01-16
ANNUAL REPORT 2015-01-29
ANNUAL REPORT 2014-02-19
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-02-06
ANNUAL REPORT 2011-02-21
ANNUAL REPORT 2010-03-09
ANNUAL REPORT 2009-02-11
ANNUAL REPORT 2008-07-14
Name Change 2007-08-21

Date of last update: 27 Jan 2025

Sources: Florida Department of State