| Entity Name: | MED-LIFE PSYCHIATRY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Oct 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 May 2023 (2 years ago) |
| Document Number: | L21000436989 |
| FEI/EIN Number | 87-3073929 |
| Address: | 801 NW 37 AVE STE 212, MIAMI, FL 33125 |
| Mail Address: | 801 NW 37 AVE STE 212, MIAMI, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336854520 | 2023-01-23 | 2023-03-24 | 801 NW 37TH AVE STE 212, MIAMI, FL, 331253883, US | 801 NW 37TH AVE STE 212, MIAMI, FL, 331253883, US | |||||||||||||||
|
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| Phone | +1 305-504-6131 |
| Fax | 3054520571 |
Authorized person
| Name | MAYBEL CONCEPCION |
| Role | CEO |
| Phone | 3055046131 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONCEPCION VALDES, MAYBEL V | Agent | 801 NW 37 AVE STE 212, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| CONCEPCION VALDES, MAYBEL V | Authorized Member | 801 NW 37 AVE STE 212, MIAMI, FL 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-05-08 | No data | No data |
| LC AMENDMENT | 2023-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-25 | 801 NW 37 AVE STE 212, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-25 | 801 NW 37 AVE STE 212, MIAMI, FL 33125 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| LC Amendment | 2023-05-08 |
| ANNUAL REPORT | 2023-04-30 |
| LC Amendment | 2023-01-25 |
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2021-10-05 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
