| Entity Name: | DESIGUAL THERAPY SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jan 2018 (7 years ago) |
| Document Number: | P18000004807 |
| FEI/EIN Number | 82-4105574 |
| Address: | 717 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US |
| Mail Address: | 717 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578108403 | 2019-11-14 | 2023-07-20 | 717 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL, 331342070, US | 717 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL, 331342070, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-952-3247 |
| Fax | 3059523248 |
Authorized person
| Name | INDIRA A ALVAREZ |
| Role | PRESIDENT |
| Phone | 7866124461 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106429700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 104809400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 115630300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALVAREZ SAENZ INDIRA A | Agent | 717 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ SAENZ INDIRA A | President | 2283 NE 123RD ST, NORTH MIAMI, FL, 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-28 | 717 PONCE DE LEON BLVD, STE 307, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-28 | 717 PONCE DE LEON BLVD, STE 307, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-28 | 717 PONCE DE LEON BLVD, STE 307, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-28 |
| AMENDED ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-22 |
| Domestic Profit | 2018-01-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
