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AMARILIS ACEVEDO, PH.D., PA

Company Details

Entity Name: AMARILIS ACEVEDO, PH.D., PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Aug 2007 (18 years ago)
Date of dissolution: 10 Mar 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Mar 2020 (5 years ago)
Document Number: P07000088436
FEI/EIN Number 260652845
Address: 16019 SW 54 COURT, MIRAMAR, FL, 33027
Mail Address: PO BOX 277706, MIRAMAR, FL, 33027
ZIP code: 33027
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881885481 2007-08-07 2009-03-22 PO BOX 277706, MIRAMAR, FL, 330277706, US 20801 BISCAYNE BLVD STE 403, AVENTURA, FL, 331801423, US

Contacts

Phone +1 786-351-2663
Fax 9544309045

Authorized person

Name DR. AMARILIS ACEVEDO
Role PSYCHOLOGIST
Phone 7863512663

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number PY5860
State FL
Is Primary Yes

Agent

Name Role Address
ACEVEDO AMARILIS Agent 16019 SW 54 COURT, MIRAMAR, FL, 33027

President

Name Role Address
ACEVEDO AMARILIS President 16019 SW 54 COURT, MIRAMAR, FL, 33027

Director

Name Role Address
ACEVEDO AMARILIS Director 16019 SW 54 COURT, MIRAMAR, FL, 33027

Secretary

Name Role Address
ACEVEDO AMARILIS Secretary 16019 SW 54 COURT, MIRAMAR, FL, 33027

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-03-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-16 16019 SW 54 COURT, MIRAMAR, FL 33027 No data
REGISTERED AGENT ADDRESS CHANGED 2011-01-16 16019 SW 54 COURT, MIRAMAR, FL 33027 No data
CHANGE OF MAILING ADDRESS 2009-03-08 16019 SW 54 COURT, MIRAMAR, FL 33027 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-03-10
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-22
ANNUAL REPORT 2016-03-26
ANNUAL REPORT 2015-02-15
ANNUAL REPORT 2014-04-15
ANNUAL REPORT 2013-04-14
ANNUAL REPORT 2012-01-07
ANNUAL REPORT 2011-01-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State