| Entity Name: | AYOUB MENTAL HEALTH CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jun 2024 (8 months ago) |
| Document Number: | L24000256818 |
| Address: | 1150 NW 72ND AVE TOWER 1 STE 455 #16612, MIAMI, FL 33126 |
| Mail Address: | 1150 NW 72ND AVE TOWER 1 STE 455 #16612, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548091184 | 2024-08-13 | 2024-08-13 | 32732 PEZ LANDING LN, WESLEY CHAPEL, FL, 335437259, US | 32732 PEZ LANDING LANE, WESLEY CHAPEL, FL, 33543, US | |||||||||||||||
|
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| Phone | +1 813-808-1213 |
| Phone | +1 813-803-2034 |
Authorized person
| Name | DR. MARIAN GERGES AYOUB |
| Role | OWNER |
| Phone | 8138081213 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REPUBLIC REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| AYOUB, MARIAN | Authorized Member | 1150 NW 72ND AVE TOWER 1 STE 455 #16612, MIAMI, FL 33126 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-05 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
