| Entity Name: | MSB THERAPY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Aug 2018 (7 years ago) |
| Document Number: | P18000067049 |
| FEI/EIN Number | 83-1453163 |
| Address: | 2250 NW 136TH AVENUE, 113, PEMBROKE PINES, FL, 33028, US |
| Mail Address: | 1602 Newport Lane, Weston, FL, 33326, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659929677 | 2019-09-03 | 2019-09-03 | 2250 NW 136 AVE # 100F, PEMBROKE PINES, FL, 330282586, US | 2250 NW 136 AVE # 100F, PEMBROKE PINES, FL, 330282586, US | |||||||||||||
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| Phone | +1 954-336-6044 |
Authorized person
| Name | MIRELLA SILVA-BASS |
| Role | OWNER |
| Phone | 9543366044 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SILVA-BASS MIRELLA | Agent | 1602 Newport Lane, Weston, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| SILVA-BASS MIRELLA | President | 1602 Newport Lane, Weston, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| BASS JAMES | Secretary | 1602 Newport Lane, Weston, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-28 | 2250 NW 136TH AVENUE, 113, PEMBROKE PINES, FL 33028 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-16 | 2250 NW 136TH AVENUE, 113, PEMBROKE PINES, FL 33028 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-16 | 1602 Newport Lane, Weston, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-02-28 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-03-26 |
| Domestic Profit | 2018-08-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
