| Entity Name: | HIDALGO TMS PSYCHIATRIC SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2024 (7 months ago) |
| Document Number: | L24000283279 |
| Address: | 2460 SW 137 Ave, Suite 250, MIAMI, FL 33175 |
| Mail Address: | 2460 SW 137 Ave, Suite 250, MIAMI, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952146821 | 2024-07-01 | 2024-09-09 | 1400 SW 145TH AVE, MIAMI, FL, 331843259, US | 2460 SW 137TH AVE STE 250, MIAMI, FL, 331756399, US | |||||||||||||||||
|
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| Phone | +1 786-449-4707 |
Authorized person
| Name | YALILE CABRERA |
| Role | APRN |
| Phone | 7864494707 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HIDALGO, ALEN | Agent | 1400 SW 145TH AVENUE, 3, MIAMI, FL 33184 |
| Name | Role | Address |
|---|---|---|
| HIDALGO, ALEN | Manager | 1400 SW 145TH AVENUE, MIAMI, FL 33184 |
| CABRERA, YALILE | Manager | 1400 SW 145TH AVENUE, MIAMI, FL 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-19 | 2460 SW 137 Ave, Suite 250, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-19 | 2460 SW 137 Ave, Suite 250, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-24 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
