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DANIEL MARIN MD PA

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MARIN, DANIEL Agent 8525 SW 92 STREET, D-17, MIAMI, FL 33156

President

Name Role Address
MARIN, DANIEL President 8525 SW 92 STREET, D-17 MIAMI, FL 33156

Events

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

Documents

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