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REGEN HEALTH CENTER, PLLC - Florida Company Profile

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Company Details

Entity Name: REGEN HEALTH CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jun 2024 (a year ago)
Document Number: L24000276861
Address: 7990 SW 117 AVENUE, SUITE 205, MIAMI, FL, 33183, US
Mail Address: 7990 SW 117 AVENUE, SUITE 205, MIAMI, FL, 33183, US
ZIP code: 33183
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
GOODRICH AIXA Authorized Person 7990 SW 117 AVENUE, SUITE 205, MIAMI, FL, 33183

National Provider Identifier

NPI Number:
1528805207
Certification Date:
2024-07-10

Authorized Person:

Name:
DR. AIXA GOODRICH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-06-18

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Date of last update: 01 Jul 2025

Sources: Florida Department of State