| Entity Name: | FUERZA VITAL MEDICAL INSTITUTE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Apr 2016 (9 years ago) |
| Document Number: | P16000029458 |
| FEI/EIN Number | 81-2101640 |
| Address: | 3701 SW 107 AVE, MIAMI, FL, 33165, US |
| Mail Address: | 3701 SW 107 AVE, MIAMI, FL, 33165, US |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083113054 | 2018-02-06 | 2024-06-11 | 3701 SW 107TH AVE, MIAMI, FL, 331653638, US | 3701 SW 107TH AVE, MIAMI, FL, 331653638, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-553-8343 |
| Fax | 3056408537 |
Authorized person
| Name | LUIS MANUEL BENITEZ VILA |
| Role | PRESIDENT |
| Phone | 3056408530 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA12725 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BENITEZ VILA LUIS MANUEL | Agent | 3701 SW 107 AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| BENITEZ VILA LUIS MANUEL | Director | 3701 SW 107 AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| BENITEZ VILA LUIS MANUEL | President | 3701 SW 107 AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GARCIA CABRERA CAMILO | Vice President | 3701 SW 107 AVE, MIAMI, FL, 33165 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000005596 | FUERZA VITAL KID'S THERAPY & BEHAVIOR | ACTIVE | 2020-01-13 | 2025-12-31 | No data | 3701 SW 107 AVE, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-13 | 3701 SW 107 AVE, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-13 | 3701 SW 107 AVE, MIAMI, FL 33165 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 3701 SW 107 AVE, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-30 |
| Domestic Profit | 2016-04-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
