| Entity Name: | FLORIDA MENTAL HEALTH RESOURCES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA MENTAL HEALTH RESOURCES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 07 May 2020 (5 years ago) |
| Document Number: | L20000124021 |
| FEI/EIN Number |
851021198
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8060 NW 155th Street Suite 202, Miami Lakes, FL, 33016, US |
| Mail Address: | 9044 NW 174TH LN, HIALEAH, FL, 33018, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861015513 | 2020-05-28 | 2024-06-05 | 9044 NW 174TH LN, HIALEAH, FL, 330186680, US | 8060 NW 155TH ST STE 202, MIAMI LAKES, FL, 330165883, US | |||||||||||||||||||||
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| Phone | +1 305-882-9144 |
| Fax | 3053284545 |
Authorized person
| Name | TANIA PILAR ALFONSO |
| Role | PSYCHIATRIC NURSE PRACTITIONER |
| Phone | 3058829144 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110127800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALFONSO TANIA P | Manager | 9044 NW 174TH LN, HIALEAH, FL, 33018 |
| ALFONSO TANIA P | Agent | 9044 NW 174TH LN, HIALEAH, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-03 | 8060 NW 155th Street Suite 202, Miami Lakes, FL 33016 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-16 |
| Florida Limited Liability | 2020-05-07 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
