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RISEUP HEALTH GROUP LLC

Company Details

Entity Name: RISEUP HEALTH GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Jun 2023 (2 years ago)
Document Number: L23000271106
FEI/EIN Number 93-1741452
Address: 10024 SW 222ND ST, CUTLER BAY, FL, 33190
Mail Address: 10024 SW 222ND ST, CUTLER BAY, FL, 33190
ZIP code: 33190
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235813031 2023-06-12 2023-06-12 10024 SW 222ND ST, CUTLER BAY, FL, 331901563, US 10024 SW 222ND ST, CUTLER BAY, FL, 331901563, US

Contacts

Phone +1 239-692-2776

Authorized person

Name WILLIAM TORRES CARBONELL
Role OWNER/MANAGER
Phone 2396922776

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
TORRES-CARBONELL WILLIAM Agent 10024 SW 222ND ST, CUTLER BAY, FL, 33190

Authorized Person

Name Role Address
TORRES CARBONELL WILLIAM Authorized Person 10024 SW 222ND ST, CUTLER BAY, FL, 33190

Officer

Name Role Address
Torres Milenka M Officer 10024 SW 222 Street, Cutler Bay, FL, 33190

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-26 TORRES-CARBONELL, WILLIAM No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
Florida Limited Liability 2023-06-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State