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EVERGREEN THERAPY SERVICES INC.

Company Details

Entity Name: EVERGREEN THERAPY SERVICES INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Dec 2009 (15 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 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
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396058590 2010-07-16 2010-07-16 220 71ST ST, STE 217, MIAMI BEACH, FL, 331413295, US 220 71ST ST, STE 217, MIAMI BEACH, FL, 331413295, US

Contacts

Phone +1 786-333-0844
Fax 8665910740

Authorized person

Name MADELYN ENRIQUEZ
Role PRESIDENT/OWNER
Phone 7863330844

Taxonomy

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

Agent

Name Role Address
ENRIQUEZ MADELYN Agent 3900 NW 79TH AVE, DORAL, FL, 33165

President

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

Vice President

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

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-08-09 3900 NW 79TH AVE, 640, DORAL, FL 33165 No data
CHANGE OF MAILING ADDRESS 2011-08-09 3900 NW 79TH AVE, 640, DORAL, FL 33165 No data
REGISTERED AGENT ADDRESS CHANGED 2011-08-09 3900 NW 79TH AVE, 640, DORAL, FL 33165 No data

Documents

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

Date of last update: 01 Feb 2025

Sources: Florida Department of State