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OPTUM WELLNESS CENTER LLC - Florida Company Profile

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Company Details

Entity Name: OPTUM WELLNESS CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Dec 2024 (8 months ago)
Document Number: L24000516587
FEI/EIN Number 33-2378326
Address: 7959 NW 2ND ST, MIAMI, FL, 33126, US
Mail Address: 7245 SW 21ST ST, MIAMI, FL, 33155, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARVAJAL ROSALBA Authorized Member 7959 NW 2ND ST, MIAMI, FL, 33126
CARVAJAL ROSALBA Agent 7245 SW 21ST ST, MIAMI, FL, 33155

National Provider Identifier

NPI Number:
1922816396
Certification Date:
2024-12-18

Authorized Person:

Name:
ROSALBA CARVAJAL
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
3053090099

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000151795 OPTUM MENTAL WELLNESS ACTIVE 2024-12-13 2029-12-31 - 7245 SW 21ST ST, MIAMI, FL, 33155

Documents

Name Date
Florida Limited Liability 2024-12-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State