| Entity Name: | MENTAL HEALTH INSTITUTE OF FLORIDA L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2015 (10 years ago) |
| Document Number: | L15000036663 |
| FEI/EIN Number | 47-3271448 |
| Address: | 3311 SW 195 Terrace, Miramar, FL, 33029, US |
| Mail Address: | 3311 SW 195 Terrace, MIRAMAR, FL, 33029, US |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467915777 | 2019-04-12 | 2019-04-12 | 1640 NW 113TH AVE, PEMBROKE PINES, FL, 330262656, US | 1931 NW 150TH AVE STE 111-112, PEMBROKE PINES, FL, 330282877, US | |||||||||||||||
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| Phone | +1 954-251-7005 |
| Fax | 9542517005 |
Authorized person
| Name | MR. ANDRES FELICIANO MAMBUCA |
| Role | CLINICAL DIRECTOR |
| Phone | 9546638086 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAMBUCA ANDRES F | Agent | 3311 SW 195 Terrace, Miramar, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| MAMBUCA ANDRES F | Authorized Member | 3311 SW 195 Terrace, Miramar, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-27 | 3311 SW 195 Terrace, Miramar, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-27 | 3311 SW 195 Terrace, Miramar, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-27 | 3311 SW 195 Terrace, Miramar, FL 33029 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000032696 | ACTIVE | 1000000922443 | BROWARD | 2024-01-11 | 2034-01-17 | $ 1,767.19 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-10 |
| Florida Limited Liability | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
