Entity Name: | NEW SMILES & NEW SKILLS NSNS CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Jun 2020 (5 years ago) |
Document Number: | P20000043769 |
FEI/EIN Number | 85-1476927 |
Address: | 11315 SW 74TH LN, MIAMI, FL, 33173, US |
Mail Address: | 11315 SW 74TH LN, MIAMI, FL, 33173, US |
ZIP code: | 33173 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1881302800 | 2022-11-08 | 2022-11-28 | 11315 SW 74TH LN, MIAMI, FL, 331732643, US | 11315 SW 74TH LN, MIAMI, FL, 331732643, US | |||||||||||||||||||
|
Phone | +1 786-715-6146 |
Authorized person
Name | MRS. ISMELIS BETANCOURT |
Role | PRESIDENT |
Phone | 7867156146 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1-20-41725 |
State | FL |
Name | Role | Address |
---|---|---|
LOPEZ OSCAR | Agent | 8410 WEST FLAGLER ST STE 205, MIAMI, FL, 33144 |
Name | Role | Address |
---|---|---|
BETANCOURT ISMELIS | President | 11315 SW 74TH LN, MIAMI, FL, 33173 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-25 |
ANNUAL REPORT | 2023-03-01 |
ANNUAL REPORT | 2022-02-10 |
ANNUAL REPORT | 2021-01-16 |
Domestic Profit | 2020-06-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State