| Entity Name: | DR. SAM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jan 2008 (17 years ago) |
| Document Number: | P08000009444 |
| FEI/EIN Number | 261866214 |
| Address: | PINECREST TOWN CENTER, 12651 S DIXIE HIGHWAY SUITE 327, MIAMI, FL, 33156 |
| Mail Address: | PINECREST TOWN CENTER, 12651 S DIXIE HIGHWAY SUITE 327, MIAMI, FL, 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922424712 | 2014-03-17 | 2014-03-17 | 12651 S. DIXIE HWY, SUITE 327, MIAMI, FL, 331565964, US | 12651 S DIXIE HWY, SUITE 327, MIAMI, FL, 331565975, US | |||||||||||||||||||
|
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| Phone | +1 786-299-7548 |
| Fax | 3052533078 |
Authorized person
| Name | DR. SAMUEL LOPEZ DE VICTORIA |
| Role | OWNER/DIRECTOR |
| Phone | 7862997548 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9101 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ DE VICTORIA SAMUEL A | Agent | PINECREST TOWN CENTER, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| LOPEZ DE VICTORIA SAMUEL A | President | 12651 S DIXIE HWY SUITE 327, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2009-04-07 | LOPEZ DE VICTORIA, SAMUEL A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
