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DAESA BEHAVIOR HEALTH INC

Company Details

Entity Name: DAESA BEHAVIOR HEALTH INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Jul 2019 (6 years ago)
Date of dissolution: 19 Aug 2022 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Aug 2022 (2 years ago)
Document Number: P19000054796
FEI/EIN Number 84-2384431
Address: 17325 NW 27TH AVE SUITE 111, MIAMI GARDENS, FL 33056
Mail Address: 17325 NW 27TH AVE SUITE 111, MIAMI GARDENS, FL 33056
ZIP code: 33056
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194379628 2019-08-01 2020-12-16 17325 NW 27TH AVE STE 111, MIAMI GARDENS, FL, 330564000, US 17325 NW 27TH AVE STE 111, MIAMI GARDENS, FL, 330564000, US

Contacts

Phone +1 786-955-5744

Authorized person

Name FABIO ALBERTO MARTE
Role PRESIDENT
Phone 7869555744

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No

Agent

Name Role Address
MARTE, FABIO A Agent 17325 NW 27TH AVE, 111, MIAMI GARDENS, FL 33056

President

Name Role Address
MARTE, FABIO A President 17325 NW 27TH AVE SUITE 111, MIAMI GARDENS, FL 33056

Vice President

Name Role Address
Marte, Fabio A Vice President 17325 NW 27TH AVE SUITE 111, MIAMI GARDENS, FL 33056

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000004217 MARTE COMMUNITY MEDICAL CENTER ACTIVE 2021-01-08 2026-12-31 No data 17325 NW 27TH AVE SUITE. 111, MIAMI GARDENS, FL, 33056

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-08-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-05-06 17325 NW 27TH AVE SUITE 111, MIAMI GARDENS, FL 33056 No data
CHANGE OF MAILING ADDRESS 2020-05-06 17325 NW 27TH AVE SUITE 111, MIAMI GARDENS, FL 33056 No data
REGISTERED AGENT NAME CHANGED 2020-05-06 MARTE, FABIO A No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-08-19
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-03-23
AMENDED ANNUAL REPORT 2020-08-20
AMENDED ANNUAL REPORT 2020-08-08
AMENDED ANNUAL REPORT 2020-05-06
ANNUAL REPORT 2020-02-05
Domestic Profit 2019-07-01

Date of last update: 16 Jan 2025

Sources: Florida Department of State