| Entity Name: | DIOSARK INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Sep 1995 (29 years ago) |
| Document Number: | P95000070269 |
| FEI/EIN Number | 650627552 |
| Address: | 12261 152ND ST NORTH, JUPITER, FL, 33478, US |
| Mail Address: | PO BOX 221315, WEST PALM BEACH, FL, 33422, US |
| ZIP code: | 33478 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013305952 | 2014-12-30 | 2014-12-30 | PO BOX 221315, WEST PALM BEACH, FL, 334221315, US | 1546 42ND ST, WEST PALM BEACH, FL, 334073604, US | |||||||||||||||||||||||||
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| Phone | +1 561-840-1647 |
| Fax | 5618406415 |
Authorized person
| Name | BERNADETTE WATSON |
| Role | ADMINISTRATOR |
| Phone | 5618401647 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 674307296 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDWAIVER |
| Number | 674307296 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATSON BERNADETTE | Agent | 5251 KIM COURT, WEST PALM BEACH, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| GAYLE-SAMUELS HAZEL | President | 6339 Tall Cypress Circle, GREENACRES, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| WATSON BERNADETTE | Treasurer | 5251 KIM CT, WEST PALM BEACH, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| GRIGGS MARCIA | Secretary | 12261 152ND ST NORTH, JUPITER, FL, 33478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-11 | 12261 152ND ST NORTH, JUPITER, FL 33478 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-11 | 12261 152ND ST NORTH, JUPITER, FL 33478 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
