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BLOOMING HEALTH COMMUNITY CENTER, LLC

Company Details

Entity Name: BLOOMING HEALTH COMMUNITY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Dec 2023 (a year ago)
Document Number: L23000536512
FEI/EIN Number 93-4706703
Address: 8785 SW 165TH AVE, UNIT# 104, MIAMI, FL 33193
Mail Address: 8785 SW 165TH AVE, UNIT#104, MIAMI, FL 33193
ZIP code: 33193
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801658240 2024-01-30 2024-01-30 8785 SW 165TH AVE STE 104, MIAMI, FL, 331935827, US 8785 SW 165TH AVE STE 104, MIAMI, FL, 331935827, US

Contacts

Phone +1 352-678-7625

Authorized person

Name ERIK SUAREZ SOLIS
Role OWNER
Phone 7864864214

Taxonomy

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

Agent

Name Role Address
SUAREZ-SOLIS, ERIK Agent 17742 SW 114 AVE, MIAMI, FL 33157

Manager

Name Role Address
SUAREZ-SOLIS, ERIK Manager 17742 SW 114 AVE, MIAMI, FL 33157
GONZALEZ-LI, ADRIAN Manager 5997 SUNDAY RD, SPRING HILL, FL 34608
GONZALEZ, ANDRES Manager 11084 CLAYMORE ST, SPRING HILL, FL 34609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-30 8785 SW 165TH AVE, UNIT# 104, MIAMI, FL 33193 No data
CHANGE OF MAILING ADDRESS 2024-01-30 8785 SW 165TH AVE, UNIT# 104, MIAMI, FL 33193 No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
Florida Limited Liability 2023-12-04

Date of last update: 09 Feb 2025

Sources: Florida Department of State