| Entity Name: | DE LA CRUZ MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Mar 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 May 2021 (4 years ago) |
| Document Number: | L21000143313 |
| FEI/EIN Number | 86-3100146 |
| Address: | 4634 NW 27TH AVE, MIAMI, FL 33142 |
| Mail Address: | 4634 NW 27TH AVE, MIAMI, FL 33142 |
| ZIP code: | 33142 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588246524 | 2021-04-28 | 2024-09-18 | 4634 NW 27TH AVE, MIAMI, FL, 331423510, US | 4634 NW 27TH AVE, MIAMI, FL, 331423510, US | |||||||||||||||||||||||||||||
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| Phone | +1 786-667-0070 |
| Fax | 3056039934 |
| Phone | +1 786-275-4680 |
Authorized person
| Name | YILIAN CRUZ |
| Role | PRESIDENT |
| Phone | 7866670070 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CRUZ, YILIAN | Agent | 4634 NW 27TH AVE, MIAMI, FL 33142 |
| Name | Role | Address |
|---|---|---|
| CRUZ, YILIAN | Manager | 4634 NW 27TH AVE, MIAMI, FL 33142 |
| CRUZ, INTI | Manager | 4634 NW 27TH AVE, MIAMI, FL 33142 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000063190 | DE LA CRUZ HEALTH | ACTIVE | 2022-05-20 | 2027-12-31 | No data | 8254 NW 165TH ST, MIAMI LAKES, FL, 33016 |
| G22000060435 | DE LA CRUZ HEALTH LLC | ACTIVE | 2022-05-13 | 2027-12-31 | No data | 8254 NW 165TH ST, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-31 | 4634 NW 27TH AVE, MIAMI, FL 33142 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-31 | 4634 NW 27TH AVE, MIAMI, FL 33142 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-23 | 4634 NW 27TH AVE, MIAMI, FL 33142 | No data |
| LC AMENDMENT | 2021-05-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-17 | 4634 NW 27TH AVE, MIAMI, FL 33142 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-23 |
| LC Amendment | 2021-05-17 |
| Florida Limited Liability | 2021-03-26 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
