Entity Name: | LUZ PSIQUIATRIA Y SALUD, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 26 Sep 2023 (a year ago) |
Document Number: | L23000445207 |
FEI/EIN Number | 93-3828388 |
Address: | 3521 NW 19 TERRACE, MIAMI, FL, 33125, US |
Mail Address: | P.O. BOX 660430, MIAMI SPRINGS, FL, 33266, US |
ZIP code: | 33125 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427830587 | 2023-10-13 | 2023-10-13 | PO BOX 660430, MIAMI SPRINGS, FL, 332660430, US | 3521 NW 19TH TER, MIAMI, FL, 331251031, US | |||||||||||||
|
Phone | +1 786-260-9213 |
Authorized person
Name | DR. BEATRIZ VALDES |
Role | OWNER |
Phone | 7862609213 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
VALDES BEATRIZ | Agent | 3521 NW 19TH TERRACE, MIAMI, FL, 33125 |
Name | Role | Address |
---|---|---|
VALDES BEATRIZ | Authorized Representative | 3521 NW 19TH TERRACE, MIAMI, FL, 33125 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-25 |
Florida Limited Liability | 2023-09-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State