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IMAGINE BLUE ABA, CORP

Company Details

Entity Name: IMAGINE BLUE ABA, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Sep 2023 (a year ago)
Document Number: P23000069805
FEI/EIN Number 93-3641541
Address: 5426 WINDBRUSH DR, TAMPA, FL, 33625, US
Mail Address: 5426 WINDBRUSH DR, TAMPA, FL, 33625, UN
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548024938 2024-02-07 2024-02-07 5426 WINDBRUSH DR, TAMPA, FL, 336254050, US 5426 WINDBRUSH DR, TAMPA, FL, 336254050, US

Contacts

Phone +1 813-713-1161

Authorized person

Name SHAYLI M GERARD
Role OWNER
Phone 5617619120

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
GERARD SHAYLI M Agent 5426 WINDBRUSH DR, TAMPA, FL, 33625

President

Name Role Address
GERARD SHAYLI M President 5426 WINDBRUSH DR, TAMPA, FL, 33625

Secretary

Name Role Address
GERARD SHAYLI M Secretary 5426 WINDBRUSH DR, TAMPA, FL, 33625
RODRIGUES BRENDHA K Secretary 5426 WINDBRUSH DR, TAMPA, FL, 33625

Vice President

Name Role Address
RODRIGUES BRENDHA K Vice President 5426 WINDBRUSH DR, TAMPA, FL, 33625

Documents

Name Date
ANNUAL REPORT 2024-03-26
Domestic Profit 2023-09-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State