Entity Name: | CAREMED MIND HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Mar 2022 (3 years ago) |
Document Number: | L22000110966 |
FEI/EIN Number | 88-1370213 |
Address: | 4719 HIGHWAY 90, MARIANNA, FL 32446 |
Mail Address: | 4719 HIGHWAY 90, MARIANNA, FL 32446 |
ZIP code: | 32446 |
County: | Jackson |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922749399 | 2022-04-07 | 2022-04-07 | 4719 HIGHWAY 90, MARIANNA, FL, 324467839, US | 4719 HIGHWAY 90, MARIANNA, FL, 324467839, US | |||||||||||||||||||||||
|
Phone | +1 850-526-3314 |
Fax | 8505265022 |
Authorized person
Name | MURALI MADDIPATI |
Role | OWNER |
Phone | 8505263314 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 103TC0700X - Clinical Psychologist |
Is Primary | No |
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
INC AUTHORITY RA | Agent | 390 NORTH ORANGE AVE., STE 2300-N, ORLANDO, FL 32801 |
Name | Role | Address |
---|---|---|
MADDIPATI, MURALI | Manager | 4719 HIGHWAY 90, MARIANNA, FL 32446 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-03 |
ANNUAL REPORT | 2024-01-17 |
ANNUAL REPORT | 2023-01-23 |
Florida Limited Liability | 2022-03-03 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State