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MIND REFINED LLC

Company Details

Entity Name: MIND REFINED LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Apr 2024 (10 months ago)
Document Number: L24000174638
Address: 14649 SW 42ND STREET, SUITE 404, MIAMI, FL 33175
Mail Address: 14649 SW 42ND STREET, SUITE 404, MIAMI, FL 33175
ZIP code: 33175
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396590659 2024-04-20 2024-08-05 14649 SW 42ND ST STE 404, MIAMI, FL, 331757825, US 14649 SW 42ND ST, MIAMI, FL, 331757825, US

Contacts

Phone +1 786-697-1114
Phone +1 786-291-2508

Authorized person

Name MICHELLE ANDREA VON DER HEYDE
Role MANAGER
Phone 7862912508

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
MARQUEZ, STEVEN Agent 14649 SW 42ND STREET, SUITE 404, MIAMI, FL 33175

Manager

Name Role Address
VON DER HEYDE, MICHELLE Manager 14649 SW 42ND STREET SUITE 404, MIAMI, FL 33175

Documents

Name Date
Florida Limited Liability 2024-04-12

Date of last update: 08 Feb 2025

Sources: Florida Department of State