| Entity Name: | 125TH STREET NM CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Mar 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P09000021819 |
| FEI/EIN Number | 26-4412607 |
| Address: | 505 NE 125TH STREET, NORTH MIAMI, FL 33161 |
| Mail Address: | 505 NE 125TH STREET, NORTH MIAMI, FL 33161 |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619352283 | 2015-07-24 | 2016-04-07 | 505 NE 125TH ST, NORTH MIAMI, FL, 331614718, US | 505 NE 125TH ST, NORTH MIAMI, FL, 331614718, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-271-0485 |
Authorized person
| Name | RENEE DOUTHAT |
| Role | CDO |
| Phone | 9542710485 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PMC20 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | ACHA |
| Number | HCC8934 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MELAMUD, LARISA | Agent | 505 NE 125TH STREET, NORTH MIAMI, FL 33161 |
| Name | Role | Address |
|---|---|---|
| MELAMUD, LARISA | President | 505 NE 125TH STREET, NORTH MIAMI, FL 33161 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000093203 | NORTH MIAMI RESEARCH ASSOCIATES | EXPIRED | 2010-10-12 | 2015-12-31 | No data | 505 NE 125TH STREET, NORTH MIAMI, FL, 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-21 | MELAMUD, LARISA | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-03 |
| AMENDED ANNUAL REPORT | 2016-06-01 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-04-04 |
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-04-25 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
