Entity Name: | DANIEL MARIN MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 25 Jun 2014 (11 years ago) |
Document Number: | P14000054773 |
FEI/EIN Number | 47-1238571 |
Address: | 4960 SW 72 AVE, Suite 408, MIAMI, FL 33155 |
Mail Address: | 9195 SW 72 ST, Suite 100, MIAMI, FL 33173 |
ZIP code: | 33155 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891101135 | 2014-07-08 | 2023-04-28 | PO BOX 430955, MIAMI, FL, 332430955, US | 9195 SW 72ND ST STE 100, MIAMI, FL, 331733488, US | |||||||||||||||||||||
|
Phone | +1 786-517-4577 |
Fax | 3055956179 |
Fax | 7863647330 |
Authorized person
Name | DR. DANIEL RODRIGO MARIN |
Role | OWNER |
Phone | 7865174577 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
MARIN, DANIEL | Agent | 8525 SW 92 STREET, D-17, MIAMI, FL 33156 |
Name | Role | Address |
---|---|---|
MARIN, DANIEL | President | 8525 SW 92 STREET, D-17 MIAMI, FL 33156 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-22 | 4960 SW 72 AVE, Suite 408, MIAMI, FL 33155 | No data |
CHANGE OF MAILING ADDRESS | 2022-12-20 | 4960 SW 72 AVE, Suite 408, MIAMI, FL 33155 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 8525 SW 92 STREET, D-17, MIAMI, FL 33156 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-25 |
ANNUAL REPORT | 2023-04-25 |
ANNUAL REPORT | 2022-04-29 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-01-16 |
ANNUAL REPORT | 2019-04-18 |
ANNUAL REPORT | 2018-04-05 |
ANNUAL REPORT | 2017-04-21 |
ANNUAL REPORT | 2016-03-28 |
ANNUAL REPORT | 2015-04-22 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State