| Entity Name: | MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2020 (4 years ago) |
| Document Number: | L20000370598 |
| FEI/EIN Number | 85-4240429 |
| Address: | 2513 W HILLSBOROUGH AVE, TAMPA, FL, 33614, US |
| Mail Address: | 2513 W HILLSBOROUGH AVE, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699468611 | 2023-05-26 | 2023-09-14 | 2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL, 336146122, US | 2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL, 336146122, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-450-1052 |
Authorized person
| Name | SUNAMYS MIRALLES |
| Role | OWNER |
| Phone | 8134435530 |
Taxonomy
| Taxonomy Code | 222Q00000X - Developmental Therapist |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MIRALLES CARDET SUNAMYS | Agent | 2513 W HILLSBOROUGH AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| ORTIZ SANTANA YOSIEL | Authorized Representative | 2513 W HILLSBOROUGH AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| MIRALLES CARDET SUNAMYS | Manager | 2513 W HILLSBOROUGH AVE, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-04 | 2513 W HILLSBOROUGH AVE, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-04 | 2513 W HILLSBOROUGH AVE, TAMPA, FL 33614 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-04 | MIRALLES CARDET, SUNAMYS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-04 | 2513 W HILLSBOROUGH AVE, Suite 210, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| AMENDED ANNUAL REPORT | 2023-09-04 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-11-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
