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SON RICE MENTAL CENTER LLC

Company Details

Entity Name: SON RICE MENTAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Oct 2018 (6 years ago)
Document Number: L18000246823
FEI/EIN Number 83-2266327
Address: 9894 NW 82 AVE, APT 303, HIALEAH GARDENS, FL 33016
Mail Address: 9894 NW 82 AVE, APT 303, HIALEAH GARDENS, FL 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871350694 2024-02-28 2024-02-28 9894 NW 82ND AVE APT 303, HIALEAH GARDENS, FL, 330162531, US 9894 NW 82ND AVE APT 303, HIALEAH GARDENS, FL, 330162531, US

Contacts

Phone +1 561-319-1847
Fax 7866101180

Authorized person

Name IVAN OLIVA
Role APRN
Phone 5613191847

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
BARRERA, OSLAIDY Agent 9894 NW 82 AVE, APT 401, HIALEAH GARDENS, FL 33016

Manager

Name Role Address
BARRERA, OSLAIDY Manager 9894 NW 82 AVE, APT 303 HIALEAH GARDENS, FL 33016
HERNANDEZ, GRETER Manager 9894 NW 82 AVE, APT 401 HIALEAH GARDENS, FL 33016
OLIVA, IVAN Manager 9894 NW 82 AVE, APT 401 HIALEAH GARDENS, FL 33016

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-13 9894 NW 82 AVE, APT 303, HIALEAH GARDENS, FL 33016 No data
CHANGE OF MAILING ADDRESS 2024-03-13 9894 NW 82 AVE, APT 303, HIALEAH GARDENS, FL 33016 No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-13 9894 NW 82 AVE, APT 401, HIALEAH GARDENS, FL 33016 No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-19
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-03-08
Florida Limited Liability 2018-10-22

Date of last update: 17 Jan 2025

Sources: Florida Department of State