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REVIVE COMMUNITY MENTAL HEALTH CLINICS,LLC - Florida Company Profile

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Company Details

Entity Name: REVIVE COMMUNITY MENTAL HEALTH CLINICS,LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 20 Feb 2020 (6 years ago)
Date of dissolution: 22 Mar 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 22 Mar 2023 (2 years ago)
Document Number: L20000057481
FEI/EIN Number 844892843
Address: 5353 SW 8 STREET, MIAMI, FL, 33134, US
Mail Address: 3460 NW 7 ST, MIAMI, FL, 33125, US
ZIP code: 33134
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RIVERA ABELARDO E Manager 3460 NW 7 ST, MIAMI, FL, 33125
NAVARRO RALPH Manager 3460 NW 7 ST, MIAMI, FL, 33125
RIVERA ABELARDO Agent 3460 NW 7 ST, MIAMI, FL, 33125

Commercial and government entity program

CAGE number:
93S55
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2022-10-19
CAGE Expiration:
2026-07-26
SAM Expiration:
2022-10-19

Contact Information

POC:
ABELARDO RIVERA

National Provider Identifier

NPI Number:
1811518723
Certification Date:
2021-06-30

Authorized Person:

Name:
MS. ABELARDO RIVERA
Role:
CHAIRMAN
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
3056492634

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000009962 MEDICINA EN SU HOGAR ACTIVE 2022-01-25 2027-12-31 - 3460 NW 7ST, MIAMI, FL, 33125
G21000073618 REVIVE MEDICAL CENTER ACTIVE 2021-06-01 2026-12-31 - 3460 NW 7 ST, MIAMI, FL, 33125

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-03-22 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-03-22
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-02-11
Florida Limited Liability 2020-02-20

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Date of last update: 01 Aug 2025

Sources: Florida Department of State