Entity Name: | REGEN HEALTH CENTER, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 18 Jun 2024 (8 months ago) |
Document Number: | L24000276861 |
Address: | 7990 SW 117 AVENUE, SUITE 205, MIAMI, FL 33183 |
Mail Address: | 7990 SW 117 AVENUE, SUITE 205, MIAMI, FL 33183 |
ZIP code: | 33183 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528805207 | 2024-07-10 | 2024-07-10 | 7990 SW 117TH AVE STE 205, MIAMI, FL, 331834865, US | 7990 SW 117TH AVE STE 205, MIAMI, FL, 331834865, US | |||||||||||||
|
Phone | +1 305-271-7447 |
Authorized person
Name | DR. AIXA GOODRICH |
Role | PRESIDENT |
Phone | 3053101433 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Name | Role |
---|---|
FLORIDA GENERAL COUNSEL, P.A. | Agent |
Name | Role | Address |
---|---|---|
GOODRICH, AIXA | Authorized Person | 7990 SW 117 AVENUE, SUITE 205, MIAMI, FL 33183 |
Name | Date |
---|---|
Florida Limited Liability | 2024-06-18 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State