| Entity Name: | MIAMI PSYCHIATRIC SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2016 (8 years ago) |
| Document Number: | L16000153949 |
| FEI/EIN Number | 81-3633542 |
| Address: | 12260 SW 8th ST, MIAMI, FL, 33184, US |
| Mail Address: | 12260 SW 8th ST, MIAMI, FL, 33184, US |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043765605 | 2016-08-23 | 2022-06-10 | 12260 SW 8TH ST, SUITE 154, MIAMI, FL, 331841551, US | 12260 SW 8TH ST, SUITE 154, MIAMI, FL, 331841551, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-409-5503 |
| Fax | 7864521165 |
Authorized person
| Name | DR. MYUNA RUIZ |
| Role | MANAGER |
| Phone | 7863559682 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | ME122666 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUIZ MYUNA | Agent | 3520 SW 124 CT, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| RUIZ MYUNA | Owne | 3520 SW 124 CT, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| LEON AGUILA JORGE L | Authorized Person | 3520 SW 124 CT, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-13 | 3520 SW 124 CT, MIAMI, FL 33175 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-13 | 12260 SW 8th ST, suite 154, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-13 | 12260 SW 8th ST, suite 154, MIAMI, FL 33184 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-11 | RUIZ, MYUNA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-03-11 |
| Florida Limited Liability | 2016-08-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
