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ANGELS OF LIFE MENTAL HEALTH LLC

Company Details

Entity Name: ANGELS OF LIFE MENTAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Dec 2022 (2 years ago)
Document Number: L22000506936
FEI/EIN Number 88-4362014
Address: 13035 W Linebaugh Ave, TAMPA, FL, 33626, US
Mail Address: 13035 W Linebaugh Ave, TAMPA, FL, 33626, US
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215649272 2022-12-21 2022-12-21 1913 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076509, US 1913 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076509, US

Contacts

Phone +1 786-792-4414

Authorized person

Name ANDY SOCARRAS MARQUEZ
Role PRESIDENT
Phone 7867924414

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
SOCARRAS MARQUEZ ANDY Agent 13035 W Linebaugh Ave, TAMPA, FL, 33626

Authorized Member

Name Role Address
SOCARRAS MARQUEZ ANDY Authorized Member 13035 W Linebaugh Ave, TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-05 13035 W Linebaugh Ave, Suite 101, TAMPA, FL 33626 No data
CHANGE OF MAILING ADDRESS 2024-04-05 13035 W Linebaugh Ave, Suite 101, TAMPA, FL 33626 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-05 13035 W Linebaugh Ave, Suite 101, TAMPA, FL 33626 No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-17
Florida Limited Liability 2022-12-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State