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SKY BLUE THERAPY CENTER, INC.

Company Details

Entity Name: SKY BLUE THERAPY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Jan 2023 (2 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Mar 2023 (2 years ago)
Document Number: P23000006150
FEI/EIN Number 92-2075976
Address: 10300 SW 72ND ST, MIAMI, FL, 33173, US
Mail Address: 10300 SW 72ND 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
1962285783 2023-08-15 2024-11-08 10300 SW 72ND ST STE 135, MIAMI, FL, 331733038, US 10300 SW 72ND ST STE 135, MIAMI, FL, 331733038, US

Contacts

Phone +1 786-631-3136

Authorized person

Name LAZARA M ALVAREZ CASTILLO
Role CEO
Phone 7866313136

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary No
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
VIERA ALVAREZ JONATHAN C Agent 7351 SW 147TH CT, MIAMI, FL, 33193

President

Name Role Address
ALVAREZ CASTILLO LAZARA M President 7351 SW 147TH CT, MIAMI, FL, 33193

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-06-29 10300 SW 72ND ST, STE 135, MIAMI, FL 33173 No data
CHANGE OF MAILING ADDRESS 2023-06-29 10300 SW 72ND ST, STE 135, MIAMI, FL 33173 No data
AMENDMENT 2023-03-15 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-11-15
ANNUAL REPORT 2024-02-02
Amendment 2023-03-15
Domestic Profit 2023-01-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State