| Entity Name: | ABRAX HEALTH INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 May 2024 (9 months ago) |
| Document Number: | L24000209970 |
| FEI/EIN Number | 99-2877331 |
| Address: | 2865 SW 17th St, Fort Lauderdale, FL 33312 |
| Mail Address: | 2865 SW 17th St, Fort Lauderdale, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710728878 | 2024-06-03 | 2024-06-03 | 1810 W 56TH ST APT 3221, HIALEAH, FL, 330127378, US | 1810 W 56TH ST APT 3221, HIALEAH, FL, 330127378, US | |||||||||||||||||
|
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| Phone | +1 561-724-7387 |
Authorized person
| Name | MARCOS J CARVAJAL BERMEJO |
| Role | CEO, PRESIDENT |
| Phone | 5617247387 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARVAJAL BERMEJO, MARCOS J | Agent | 2865 SW 17th St, Fort Lauderdale, FL 33312 |
| Name | Role | Address |
|---|---|---|
| CARVAJAL BERMEJO, MARCOS J | Chief Executive Officer | 2865 SW 17th St, Fort Lauderdale, FL 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-07 | 2865 SW 17th St, Fort Lauderdale, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-07 | 2865 SW 17th St, Fort Lauderdale, FL 33312 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-07 | 2865 SW 17th St, Fort Lauderdale, FL 33312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| Florida Limited Liability | 2024-05-06 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
