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BELEN THERAPY MEDICAL CENTER CORP.

Company Details

Entity Name: BELEN THERAPY MEDICAL CENTER CORP.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 26 Dec 2017 (7 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: P17000100789
FEI/EIN Number 82-3818422
Address: 3750 W 16 AVE, 244 U, HIALEAH, FL 33012
Mail Address: 3750 W 16 AVE, 244 U, HIALEAH, FL 33012
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255891222 2019-03-25 2019-03-25 3750 W 16TH AVE STE 244U, HIALEAH, FL, 330124664, US 3750 W 16TH AVE STE 244U, HIALEAH, FL, 330124664, US

Contacts

Phone +1 305-824-0031
Fax 3058240024

Authorized person

Name DAVID DE LA SOTA
Role PRESIDENT
Phone 9545886733

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
BUSTAMANTE, NORMA Agent 3750 W 16 AVE, 244 U, HIALEAH, FL 33012

President

Name Role Address
BUSTAMANTE, NORMA President 3750 W 16 AVE, 244 U HIALEAH, FL 33012

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000074037 CORAZONCITO HEALTH CENTER ACTIVE 2021-06-02 2026-12-31 No data 3750 W 16 AVE, 244 U, HIALEAH, FL, 33012

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2021-06-01 BUSTAMANTE, NORMA No data
AMENDMENT 2020-09-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-01-07 3750 W 16 AVE, 244 U, HIALEAH, FL 33012 No data
CHANGE OF MAILING ADDRESS 2019-01-07 3750 W 16 AVE, 244 U, HIALEAH, FL 33012 No data
REGISTERED AGENT ADDRESS CHANGED 2019-01-07 3750 W 16 AVE, 244 U, HIALEAH, FL 33012 No data

Documents

Name Date
ANNUAL REPORT 2023-07-13
ANNUAL REPORT 2022-04-28
AMENDED ANNUAL REPORT 2021-06-01
ANNUAL REPORT 2021-03-11
AMENDED ANNUAL REPORT 2020-10-07
Amendment 2020-09-16
ANNUAL REPORT 2020-06-26
AMENDED ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2019-01-07
Domestic Profit 2017-12-26

Date of last update: 18 Jan 2025

Sources: Florida Department of State