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MINDLI HEALTH, LLC

Company Details

Entity Name: MINDLI HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Dec 2021 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Oct 2024 (3 months ago)
Document Number: L21000531114
FEI/EIN Number 87-4168053
Address: 20211 NW 9TH DRIVE, PEMBROKE PINES, FL 33029
Mail Address: 20211 NW 9TH DRIVE, PEMBROKE PINES, FL 33029
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821758921 2021-12-30 2021-12-30 20211 NW 9TH DR, PEMBROKE PINES, FL, 330293427, US 400 HOLLYWOOD BOULEVARD HILLS, SUITE 517, HOLLYWOOD HILLS, FL, 33021, US

Contacts

Phone +1 954-906-0601
Phone +1 877-464-6354

Authorized person

Name MR. JORGE A. SANTIAGO
Role ADMINISTRATOR
Phone 8774646354

Taxonomy

Taxonomy Code 2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
SANTIAGO, FEDJA Agent 20211 NW 9TH DRIVE, PEMBROKE PINES, FL 33029

Manager

Name Role Address
SANTIAGO, FEDJA Manager 20211 NW 9TH DRIVE, PEMBROKE PINES, FL 33029

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000126636 CHRIST AND LOVE ACTIVE 2022-10-10 2027-12-31 No data 400 HOLLYWOOD BOULEVARD HILLS #517, HOLLYWOOD HILLS, FL, 33021

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-10-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2022-10-01 No data No data
REGISTERED AGENT NAME CHANGED 2022-10-01 SANTIAGO, FEDJA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
REINSTATEMENT 2024-10-17
REINSTATEMENT 2022-10-01
Florida Limited Liability 2021-12-17

Date of last update: 13 Jan 2025

Sources: Florida Department of State