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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MARQUEZ, STEVEN | Agent | 14649 SW 42ND STREET, SUITE 404, MIAMI, FL 33175 |
Name | Role | Address |
---|---|---|
VON DER HEYDE, MICHELLE | Manager | 14649 SW 42ND STREET SUITE 404, MIAMI, FL 33175 |
Name | Date |
---|---|
Florida Limited Liability | 2024-04-12 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State