| Entity Name: | ENVISION MINDCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Dec 2023 (a year ago) |
| Document Number: | L23000550130 |
| FEI/EIN Number | 93-3741295 |
| Address: | 602 NE 36th Street Ste. 19, MIAMI, FL 33137 |
| Mail Address: | 602 NE 36th Street Ste. 19, MIAMI, FL 33137 |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306615786 | 2023-12-27 | 2024-05-20 | 602 NE 36TH ST STE 19, MIAMI, FL, 331373917, US | 602 NE 36TH ST STE 19, MIAMI, FL, 331373917, US | |||||||||||||||
|
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| Phone | +1 786-220-1969 |
| Fax | 7862179604 |
Authorized person
| Name | RANDY WARNER |
| Role | OWNER |
| Phone | 3059123093 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WARNER, RANDY T | Agent | 601 NE 36TH STREET, APT 2206, Miami, FL 33137 |
| Name | Role | Address |
|---|---|---|
| Warner, Randy T | Manager | 601 NE 36TH STREET, APT 2206 Miami, FL 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-04 | 601 NE 36TH STREET, APT 2206, Miami, FL 33137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 602 NE 36th Street Ste. 19, MIAMI, FL 33137 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-12 | 602 NE 36th Street Ste. 19, MIAMI, FL 33137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| Florida Limited Liability | 2023-12-13 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
