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MIRACLES BEHAVIOR THERAPY CORP.

Company Details

Entity Name: MIRACLES BEHAVIOR THERAPY CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 Apr 2022 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P22000031558
Address: 9160 FORUM CORPORATE PARKWAY, 350, FT MYERS, FL, 33905
Mail Address: 9160 FORUM CORPORATE PARKWAY, 350, FT MYERS, FL, 33905
ZIP code: 33905
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639814627 2022-05-03 2022-05-03 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL, 339057808, US 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL, 339057808, US

Contacts

Phone +1 786-557-0300

Authorized person

Name MR. MARLON MEDINA
Role CEO
Phone 7862507352

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
MEDINA MARLON Agent 12970 SW 280 STREET, HOMESTEAD, FL, 33032

President

Name Role Address
MEDINA MARLON President 12970 SW 280 STREET, HOMESTEAD, FL, 33032

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Domestic Profit 2022-04-11

Date of last update: 03 Feb 2025

Sources: Florida Department of State