| Entity Name: | MENTAL HEALTH OF FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2016 (9 years ago) |
| Document Number: | L16000120244 |
| FEI/EIN Number | 81-3075127 |
| Address: | 6955 NW 77th Ave, Suite 205, MIAMI, FL, 33196, US |
| Mail Address: | 6955 NW 77TH Ave, MIAMI, FL, 33166, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891212734 | 2017-08-22 | 2022-07-21 | 6955 NW 77TH AVE STE 205, MIAMI, FL, 331662845, US | 6955 NW 77TH AVE STE 205, MIAMI, FL, 331662845, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 305-308-4696 |
Authorized person
| Name | MAYDONIS FERNANDEZ |
| Role | OWNER/ANALYST |
| Phone | 3053084696 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022096600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ MAYDONIS MRS | Agent | 6955 NW 77th Ave, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ MAYDONIS MRS. | President | 6955 NW 77TH Ave, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| MEJIAS ORISLANDY | Vice President | 6955 NW 77TH Ave, MIAMI, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-17 | 6955 NW 77th Ave, Suite 205, MIAMI, FL 33196 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-17 | 6955 NW 77th Ave, Suite 205, MIAMI, FL 33196 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-17 | 6955 NW 77th Ave, Suite 205, MIAMI, FL 33196 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-03-06 |
| AMENDED ANNUAL REPORT | 2017-08-14 |
| ANNUAL REPORT | 2017-04-14 |
| Florida Limited Liability | 2016-06-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
