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LIDIA MARTINEZ PHD LLC

Company Details

Entity Name: LIDIA MARTINEZ PHD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Feb 2021 (4 years ago)
Document Number: L21000086495
FEI/EIN Number 86-2673745
Address: 13520 SW 152 ST, #771513, MIAMI, FL 33177
Mail Address: 13520 SW 152 ST, #771513, MIAMI, FL 33177
ZIP code: 33177
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023749454 2022-06-17 2022-06-17 13520 SW 152ND ST UNIT 771513, MIAMI, FL, 331770178, US 13520 SW 152ND ST UNIT 771513, MIAMI, FL, 331770178, US

Contacts

Phone +1 786-565-6916
Fax 3052606200

Authorized person

Name DR. LIDIA A MARTINEZ
Role OWNER
Phone 7865656916

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
MARTINEZ, LIDIA A Agent 13520 SW 152 ST, #771513, MIAMI, FL 33177

Manager

Name Role Address
MARTINEZ, LIDIA A Manager 13520 SW 152 ST #771513, MIAMI, FL 33177

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000078765 ONLINE CHRISTIAN COUNSELING SERVICES ACTIVE 2023-07-01 2028-12-31 No data 13520 SW 152ND ST UNIT 771513, MIAMI, FL, 33177
G23000078766 LIDIA MARTINEZ ACTIVE 2023-07-01 2028-12-31 No data 13520 SW 152ND ST UNIT 771513, MIAMI, FL, 33177

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-02-21
Florida Limited Liability 2021-02-22

Date of last update: 14 Jan 2025

Sources: Florida Department of State