Entity Name: | MIRACLES OF THE HEART INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 15 Jun 2021 (4 years ago) |
Document Number: | N21000007265 |
FEI/EIN Number | 87-1244231 |
Address: | 15668 SW 72 STREET, MIAMI, FL, 33193, US |
Mail Address: | 15668 SW 72 STREET, MIAMI, FL, 33193, US |
ZIP code: | 33193 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952055964 | 2022-02-08 | 2022-02-08 | 15668 SW 72ND ST, MIAMI, FL, 331931923, US | 7815 CORAL WAY STE 106-108, MIAMI, FL, 331556541, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 786-315-6818 |
Phone | +1 786-556-1397 |
Authorized person
Name | BRISAIDA DUARTE |
Role | ADMINISTRATOR |
Phone | 7863156818 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | No |
Other Provider Identifiers
Issuer | FDL |
Number | D630060839451 |
State | FL |
Name | Role | Address |
---|---|---|
DUARTE BRISAIDA | Agent | 15668 SW 72 STREET, MIAMI, FL, 33193 |
Name | Role | Address |
---|---|---|
DUARTE BRISAIDA | President | 15668 SW 72 STREET, MIAMI, FL, 33193 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-10-21 | 15668 SW 72 STREET, MIAMI, FL 33193 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-28 |
ANNUAL REPORT | 2023-03-30 |
ANNUAL REPORT | 2022-04-27 |
Domestic Non-Profit | 2021-06-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State