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BLUE LIFE THERAPY INC

Company Details

Entity Name: BLUE LIFE THERAPY INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Oct 2022 (2 years ago)
Document Number: P22000081159
FEI/EIN Number 920845488
Address: 13404 SW 128th Street, MIAMI, FL, 33186, US
Mail Address: 13404 SW 128th Street, MIAMI, FL, 33186, US
ZIP code: 33186
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295443893 2022-11-11 2022-11-11 12700 SW 128TH ST STE 201, MIAMI, FL, 331865378, US 12700 SW 128TH ST STE 201, MIAMI, FL, 331865378, US

Contacts

Phone +1 786-307-6370

Authorized person

Name ROSALIA GALAN GOICOCHEA
Role PRESIDENT
Phone 7863076370

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
GALAN GOICOCHEA ROSALIA Agent 1630 NW 28TH AVE, MIAMI, FL, 33125

President

Name Role Address
GALAN GOICOCHEA ROSALIA President 1630 NW 28TH AVE, MIAMI, FL, 33125

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-08 13404 SW 128th Street, MIAMI, FL 33186 No data
CHANGE OF MAILING ADDRESS 2024-08-08 13404 SW 128th Street, MIAMI, FL 33186 No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-04-04
Domestic Profit 2022-10-24

Date of last update: 03 Feb 2025

Sources: Florida Department of State