| Entity Name: | LOPEZ MENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2023 (a year ago) |
| Document Number: | L23000516619 |
| FEI/EIN Number | 934535274 |
| Address: | 322 W Bearss Ave, TAMPA, FL, 33613, US |
| Mail Address: | 322 W Bearss Ave, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295501278 | 2023-11-30 | 2023-11-30 | 12610 HENDERSON RD STE 4, STE 1003, TAMPA, FL, 336256548, US | 12610 HENDERSON RD STE 4, STE 1003, TAMPA, FL, 336256548, US | |||||||||||||
|
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| Phone | +1 813-279-1364 |
Authorized person
| Name | DR. EDGAR O LOPEZ DE CASTRO |
| Role | OWNER |
| Phone | 8132791364 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTANEZ LAW FIRM | Agent | 2114 W. COLUMBUS DRIVE, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| LOPEZ DE CASTRO DELGEDGAR O | Authorized Member | 322 W Bearss Ave, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-27 | 322 W Bearss Ave, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-27 | 322 W Bearss Ave, TAMPA, FL 33613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| Florida Limited Liability | 2023-11-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
