| Entity Name: | GOLDEN PROFESSIONAL THERAPY CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Aug 2011 (14 years ago) |
| Date of dissolution: | 06 Oct 2015 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Oct 2015 (9 years ago) |
| Document Number: | P11000070015 |
| FEI/EIN Number | 453028350 |
| Address: | 31 BARKLEY CIRCLE, STE 1B, FORT MYERS, FL, 33907 |
| Mail Address: | 31 BARKLEY CIRCLE, STE 1B, FORT MYERS, FL, 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457637498 | 2011-10-21 | 2011-10-21 | 31 BARKLEY CIR, SUITE 1B, FORT MYERS, FL, 339077628, US | 31 BARKLEY CIR, SUITE 1B, FORT MYERS, FL, 339077628, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 239-931-4001 |
| Fax | 2399314002 |
Authorized person
| Name | DR. ARNALDO DE LA VEGA |
| Role | VICE PRESIDENT |
| Phone | 2399314001 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME101292 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA63547 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000107700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOYA TATIANA | Agent | 229 SANTA BARBARA BLVD, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| MOYA TATIANA | President | 229 SANTA BARBARA BLVD, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| DE LA VEGA ARNALDO | Vice President | 225 SANTA BARBARA BLVD, CAPE CORAL, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-10-06 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000718065 | TERMINATED | 1000000487765 | LEE | 2013-04-04 | 2033-04-11 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-10-06 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-01-23 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-04-27 |
| Domestic Profit | 2011-08-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
