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EVERGREEN THERAPY SERVICES INC. - Florida Company Profile

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Company Details

Entity Name: EVERGREEN THERAPY SERVICES INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Dec 2009 (16 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: P09000097682
FEI/EIN Number 271405955
Address: 3900 NW 79TH AVE, 640, DORAL, FL, 33165
Mail Address: 3900 NW 79TH AVE, 640, DORAL, FL, 33165
ZIP code: 33165
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ENRIQUEZ MADELYN President 3900 NW 79TH AVE # 640, DORAL, FL, 33165
ENRIQUEZ MADELYN Agent 3900 NW 79TH AVE, DORAL, FL, 33165
CASTELLANOS MADAYS Vice President 3900 NW 79TH AVE # 640, DORAL, FL, 33165

National Provider Identifier

NPI Number:
1396058590

Authorized Person:

Name:
MADELYN ENRIQUEZ
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fax:
8665910740

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2011-08-09 3900 NW 79TH AVE, 640, DORAL, FL 33165 -
CHANGE OF MAILING ADDRESS 2011-08-09 3900 NW 79TH AVE, 640, DORAL, FL 33165 -
REGISTERED AGENT ADDRESS CHANGED 2011-08-09 3900 NW 79TH AVE, 640, DORAL, FL 33165 -

Documents

Name Date
ANNUAL REPORT 2011-08-09
ANNUAL REPORT 2010-04-29
Domestic Profit 2009-12-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State