| Entity Name: | LORRAINE CHIN-DEWITT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Jul 1997 (28 years ago) |
| Document Number: | P97000059391 |
| FEI/EIN Number | 65-0765672 |
| Address: | 12030 NW 30 PLACE, SUNRISE, FL 33323 |
| Mail Address: | 12030 NW 30 PLACE, SUNRISE, FL 33323 |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528744109 | 2023-06-27 | 2023-06-27 | 12030 NW 30TH PL, SUNRISE, FL, 333231524, US | 12030 NW 30TH PL, SUNRISE, FL, 333231524, US | |||||||||||||||||||
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| Phone | +1 954-319-6723 |
Authorized person
| Name | LORRAINE M. CHIN-DEWITT |
| Role | PRESIDENT |
| Phone | 9543196723 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 881793600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHIN-DEWITT, LORRAINE | Agent | 12030 NW 30 PLACE, SUNRISE, FL 33323 |
| Name | Role | Address |
|---|---|---|
| CHIN-DEWITT, LORRAINE | Director | 12030 NW 30 PLACE, SUNRISE, FL 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-11 | 12030 NW 30 PLACE, SUNRISE, FL 33323 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-07 | 12030 NW 30 PLACE, SUNRISE, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-07 | 12030 NW 30 PLACE, SUNRISE, FL 33323 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
