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GRANDMA BEHAVIOR SOLUTION CORP

Company Details

Entity Name: GRANDMA BEHAVIOR SOLUTION CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jul 2021 (4 years ago)
Document Number: P21000067418
FEI/EIN Number 87-1920815
Address: 10300 sw 72 st, miami, FL, 33173, US
Mail Address: 10300 sw 72 st, miami, FL, 33173, US
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467291294 2024-05-21 2024-05-21 10300 SW 72ND ST STE 250, MIAMI, FL, 331733014, US 10300 SW 72ND ST STE 250, MIAMI, FL, 331733014, US

Contacts

Phone +1 786-342-5800

Authorized person

Name MAYRA A AVILA
Role OWNER
Phone 7863425800

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
AVILA MAYRA A Agent 14763 SW 173 TR, MIAMI, FL, 33187

President

Name Role Address
AVILA MAYRA A President 14763 SW 173 TR, MIAMI, FL, 33187

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-03 10300 sw 72 st, 250, miami, FL 33173 No data
CHANGE OF MAILING ADDRESS 2024-05-03 10300 sw 72 st, 250, miami, FL 33173 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-03
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-28
Domestic Profit 2021-07-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State