| Entity Name: | CASTILLO CASE MGMTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Dec 2015 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P15000099584 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1153 NW 6 STREET, MIAMI, FL, 33136, US |
| Mail Address: | 1153 NW 6 STREET, MIAMI, FL, 33136, US |
| ZIP code: | 33136 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760839138 | 2016-05-16 | 2016-05-16 | 2660 SW 37TH AVE, PH5, COCONUT GROVE, FL, 331332743, US | 2660 SW 37TH AVE, PH5, COCONUT GROVE, FL, 331332743, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 305-316-8506 |
Authorized person
| Name | EDMUNDO CASTILLO |
| Role | PRESIDENT |
| Phone | 3053168506 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW8865 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016154100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALFONSO JULIAN L | Agent | 1153 NW 6 STREET, MIAMI, FL, FL, 33136 |
| Name | Role | Address |
|---|---|---|
| CASTILLO EDMUNDO SR | President | 1153 NW 6 STREET, MIAMI, FL, 33136 |
| Name | Role | Address |
|---|---|---|
| ALFONSO JULIAN LSR | Director | 1153 NW 6 STREET, MIAMI, FL, 33136 |
| Name | Role | Address |
|---|---|---|
| ALFONSO JULIAN LSR | Vice President | 1153 NW 6 STREET, MIAMI, FL, 33136 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| Domestic Profit | 2015-12-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
