| Entity Name: | CARIBBEAN BLUE SPA CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Jul 2012 (13 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P12000066054 |
| FEI/EIN Number | 46-0683382 |
| Address: | 228 SW 67TH AVE, MIAMI, FL 33144 |
| Mail Address: | 228 SW 67TH AVE, MIAMI, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700395712 | 2017-09-21 | 2017-12-08 | 285 NW 27TH AVE STE 17, MIAMI, FL, 331255133, US | 285 NW 27TH AVE, MIAMI, FL, 331255131, US | |||||||||||||||||||||||
|
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| Phone | +1 786-899-0923 |
Authorized person
| Name | ILIANA MASTRAPA |
| Role | PROVIDER |
| Phone | 7868990923 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC11225 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1538605266 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENA, YAQUELIN | Agent | 228 SW 67TH AVE, Miami, FL 33144 |
| Name | Role | Address |
|---|---|---|
| MENA, YAQUELIN | President | 228 SW 67TH AVE, Miami, FL 33144 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000061360 | CARIBBEAN BLUE HEALTH CENTER | EXPIRED | 2018-05-22 | 2023-12-31 | No data | 285 NW 27TH AVE STE 17, MIAMI, MI, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-12 | 228 SW 67TH AVE, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-12 | 228 SW 67TH AVE, MIAMI, FL 33144 | No data |
| AMENDMENT | 2021-05-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-05 | 228 SW 67TH AVE, Miami, FL 33144 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-05 | MENA, YAQUELIN | No data |
| AMENDMENT | 2017-08-14 | No data | No data |
| AMENDMENT | 2014-11-03 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000648319 | ACTIVE | 2024-009128-CA-01 | CIR CT 11TH JUD MIAMI-DADE FL | 2024-09-24 | 2029-10-09 | $126,776.93 | TD BANK, N.A., 5900 N. ANDREWS AVENUE, SUITE 200, FT. LAUDERDALE, FL 33309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-12 |
| Amendment | 2021-05-19 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-13 |
| Amendment | 2017-08-14 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-08-17 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
