| Entity Name: | DYNAMIC KIDS THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Oct 2010 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Mar 2012 (13 years ago) |
| Document Number: | P10000087437 |
| FEI/EIN Number | 273786244 |
| Address: | 14340 LAKE CANDLEWOOD CT., MIAMI LAKES, FL, 33014 |
| Mail Address: | 14340 LAKE CANDLEWOOD CT., MIAMI LAKES, FL, 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912205774 | 2011-03-03 | 2011-03-03 | 14340 LAKE PANDLEWOOD COURT, MIAMI LAKES, FL, 330143016, US | 14340 LAKE PANDLEWOOD CT, MIAMI LAKES, FL, 33014, US | |||||||||||||||||||||||||||||||
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| Phone | +1 786-395-2882 |
| Fax | 3054282661 |
Authorized person
| Name | CLAUDIA GUZMAN |
| Role | OWNER |
| Phone | 7863952882 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT14800 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSFL |
| Number | Y092P |
| State | FL |
| Issuer | MEDICAID |
| Number | 888598200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUZMAN CLAUDIA | Agent | 14340 LAKE CANDLEWOOD CT., MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| GUZMAN CLAUDIA | President | 14340 LAKE CANDLEWOOD CT., MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| GUZMAN CLAUDIA | Director | 14340 LAKE CANDLEWOOD CT., MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2012-03-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
