| Entity Name: | SUPREME ELY THERAPY CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Feb 2024 (a year ago) |
| Document Number: | P24000010218 |
| FEI/EIN Number | 99-1238825 |
| Address: | 10262 NW 131 ST, HIALEAH, FL 33018 |
| Mail Address: | 10262 NW 131 ST, HIALEAH, FL 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871331322 | 2024-07-18 | 2024-07-18 | 10262 NW 131ST ST, HIALEAH, FL, 330181208, US | 10262 NW 131ST ST, HIALEAH, FL, 330181208, US | |||||||||||||
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| Phone | +1 305-608-4759 |
Authorized person
| Name | YADIRA MACHADO FERRER |
| Role | OWNER |
| Phone | 3056084759 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MACHADO FERRER, YADIRA | Agent | 10262 NW 131 ST, HIALEAH, FL 33018 |
| Name | Role | Address |
|---|---|---|
| MACHADO FERRER, YADIRA | President | 10262 NW 131 ST, HIALEAH, FL 33018 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-02-07 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
