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DORAL THERAPY CLINIC, CORP

Company Details

Entity Name: DORAL THERAPY CLINIC, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 May 2017 (8 years ago)
Date of dissolution: 25 Apr 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Apr 2019 (6 years ago)
Document Number: P17000041219
FEI/EIN Number 82-1533011
Address: 2614 NW 97TH AVE, MIAMI, FL, 33172, US
Mail Address: 2614 NW 97TH AVE, MIAMI, FL, 33172, US
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497233357 2018-08-02 2018-08-02 2614 NW 97TH AVE, DORAL, FL, 331721413, US 2614 NW 97TH AVE, DORAL, FL, 331721413, US

Contacts

Phone +1 786-486-0285

Authorized person

Name KRISTEL MARIANNE BERDUGO
Role OCCUPATIONAL THERAPIST
Phone 7864860285

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 163W00000X - Registered Nurse
Is Primary No
Taxonomy Code 2085B0100X - Body Imaging Physician
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No

Agent

Name Role Address
BERDUGO KRISTEL MMRS Agent 5611 NW 112TH CT, DORAL, FL, 33178

President

Name Role Address
BERDUGO KRISTEL MMRS President 5611 NW 112TH, DORAL, FL, 33178

Vice President

Name Role Address
MARQUEZ RUTH EMRS Vice President 11916 SW 154TH AVE, MIAMI, FL, 33196
PEREZ MAIDELIS MRS Vice President 7630 W 29 WAY APT 102, HIALEAH, FL, 33018

Secretary

Name Role Address
PAEZ CHRISTIAN MRS Secretary 11916 SW 154TH AVE, MIAMI, FL, 33196

Treasurer

Name Role Address
ALVAREZ HERNAN MSR Treasurer 5755 NW 115TH CT APT 105, DORAL, FL, 33178

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-04-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-05-26 2614 NW 97TH AVE, MIAMI, FL 33172 No data
CHANGE OF MAILING ADDRESS 2017-05-26 2614 NW 97TH AVE, MIAMI, FL 33172 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-04-25
ANNUAL REPORT 2018-04-29
Domestic Profit 2017-05-05

Date of last update: 03 Feb 2025

Sources: Florida Department of State