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DESTINY THERAPY CENTER, INC

Company Details

Entity Name: DESTINY THERAPY CENTER, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Jun 2017 (8 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P17000048689
FEI/EIN Number 82-1760044
Mail Address: 5636 NW 167 Street, Hialeah, FL 33014
Address: 5636 NW 167 STREET, Hialeah, FL 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508384165 2017-09-05 2022-07-21 7480 FAIRWAY DR. SUITE 101, MIAMI LAKES, FL, 33014, US 7480 FAIRWAY DR., SUITE 101, MIAMI LAKES, FL, 33014, US

Contacts

Phone +1 786-409-7430
Fax 7869535949

Authorized person

Name LIONEL DIAZ
Role PRESIDENT
Phone 7864097430

Taxonomy

Taxonomy Code 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary Yes

Agent

Name Role Address
DIAZ, LIONEL Agent 5636 NW 167 Street, Hialeah, FL 33014

President

Name Role Address
DIAZ, LIONEL President 5636 NW 167 STREET, MIAMI LAKES, FL 33014

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-29 5636 NW 167 STREET, Hialeah, FL 33014 No data
CHANGE OF MAILING ADDRESS 2020-06-29 5636 NW 167 STREET, Hialeah, FL 33014 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-29 5636 NW 167 Street, Hialeah, FL 33014 No data

Documents

Name Date
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-05-01
Domestic Profit 2017-06-01

Date of last update: 18 Jan 2025

Sources: Florida Department of State