| Entity Name: | LUMIMIND PSYCHIATRY & WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Sep 2024 (5 months ago) |
| Document Number: | L24000414617 |
| FEI/EIN Number | 33-1268145 |
| Address: | 24123 SW 118TH AVENUE, HOMESTEAD, FL 33032 |
| Mail Address: | 24123 SW 118TH AVENUE, HOMESTEAD, FL 33032 |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346069374 | 2024-10-07 | 2024-10-07 | 24123 SW 118TH AVE, HOMESTEAD, FL, 330323440, US | 24123 SW 118TH AVE, HOMESTEAD, FL, 330323440, US | |||||||||||||
|
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| Phone | +1 786-208-5979 |
Authorized person
| Name | MS. BELKIS B PEREZ |
| Role | PMHNP-BC |
| Phone | 7862085979 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, BELKIS B | Agent | 24123 SW 118TH AVENUE, HOMESTEAD, FL 33032 |
| Name | Role | Address |
|---|---|---|
| PEREZ, BELKIS B | Manager | 24123 SW 118TH AVENUE, HOMESTEAD, FL 33032 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-23 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
