| Entity Name: | MEDLEY SOCIAL CLUB INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Apr 2020 (5 years ago) |
| Document Number: | P20000030508 |
| FEI/EIN Number | 85-0768648 |
| Address: | 7911 NW 72ND AVE, 106-107-108, MEDLEY, FL 33166 |
| Mail Address: | 7911 NW 72ND AVE, 106-107-108, MEDLEY, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316551062 | 2020-09-01 | 2020-09-01 | 7911 NW 72ND AVE STE 108109, MEDLEY, FL, 331662227, US | 7911 NW 72ND AVE STE 108109, MEDLEY, FL, 331662227, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 786-781-2013 |
| Fax | 3058871092 |
Authorized person
| Name | MRS. DAYAMANTY PINO |
| Role | OWNER |
| Phone | 7867812013 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9454 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PINO, DAYAMANTY | Agent | 7911 NW 72ND AVE, 106-107-108, MEDLEY, FL 33166 |
| Name | Role | Address |
|---|---|---|
| PINO, DAYAMANTY | President | 7911 NW 72ND AVE STE 106-107-108, MEDLEY, FL 33166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| AMENDED ANNUAL REPORT | 2023-12-08 |
| AMENDED ANNUAL REPORT | 2023-11-30 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-07 |
| Domestic Profit | 2020-04-17 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
