| Entity Name: | MENTAL MEDIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Oct 2024 (4 months ago) |
| Document Number: | L24000425935 |
| FEI/EIN Number | 33-1396256 |
| Address: | 4474 WESTON ROAD, 102, DAVIE, FL 33331 |
| Mail Address: | 4474 WESTON ROAD, 102, DAVIE, FL 33331 |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699595470 | 2024-10-15 | 2024-10-15 | 4474 WESTON RD STE 102, DAVIE, FL, 333313195, US | 1725 MAIN ST STE 219, WESTON, FL, 333263670, US | |||||||||||||
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| Phone | +1 954-380-5303 |
Authorized person
| Name | MRS. MARIA EUGENIA MORAN |
| Role | PRESIDENT |
| Phone | 9548820942 |
Taxonomy
| Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLACIS, ALFREDO E | Agent | 4474 WESTON ROAD, 102, DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| MORAN, MARIA E | Authorized Member | 4474 WESTON ROA SUITE 102, DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| VILLACIS, ALFREDO E | Manager | 4474 WESTON ROA SUITE 102, DAVIE, FL 33331 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| Florida Limited Liability | 2024-10-03 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
