| Entity Name: | MINDFUL PSYCHIATRY & HOME HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jun 2021 (4 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 21 Aug 2023 (a year ago) |
| Document Number: | L21000252976 |
| FEI/EIN Number | 88-3408291 |
| Mail Address: | 6463 AMBERJACK TERRACE, MARGATE, FL, 33063, US |
| Address: | 3900 W COMMERCIAL BLVD, TAMARAC, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265215073 | 2023-08-15 | 2023-08-15 | 3900 W COMMERCIAL BLVD STE 213, TAMARAC, FL, 333093328, US | 3900 W COMMERCIAL BLVD STE 213, TAMARAC, FL, 333093328, US | |||||||||||||
|
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| Phone | +1 954-415-3690 |
Authorized person
| Name | JOSEFINA DORT |
| Role | APRN |
| Phone | 9544153690 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DORT GIRONY | Agent | 6463 AMBERJACK TERRACE, MARGATE, FL, 33063 |
| Name | Role | Address |
|---|---|---|
| DORT JOSEFINA | Manager | 6463 AMBERJACK TERRACE, MARGATE, FL, 33063 |
| Name | Role | Address |
|---|---|---|
| DORT GIRONY | Authorized Member | 6463 AMBERJACK TERRACE, MARGATE, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-08-21 | MINDFUL PSYCHIATRY & HOME HEALTH, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-21 | DORT, GIRONY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| LC Amendment and Name Change | 2023-08-21 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-08-21 |
| Florida Limited Liability | 2021-06-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
