| Entity Name: | INSTITUTE FOR MIND AND BODY CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Feb 2024 (a year ago) |
| Document Number: | N24000001329 |
| FEI/EIN Number | 99-1105528 |
| Address: | 7765 SW 87 AVE, 105, MIAMI, FL 33173 |
| Mail Address: | 7765 SW 87 AVE, 105, MIAMI, FL 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831951565 | 2024-01-29 | 2024-02-02 | 7765 SW 87TH AVE STE 105, MIAMI, FL, 331732535, US | 7765 SW 87TH AVE STE 105, MIAMI, FL, 331732535, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-423-9082 |
Authorized person
| Name | ANGEL MIGUEL CARRASCO |
| Role | MEDICAL DIRECTOR |
| Phone | 7869993727 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, ALEJANDRO | Agent | 7765 SW 87 AVENUE, 105, MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| HIDALGO, GISELA | President | 7765 SW 87 AVENUE SUITE 105, MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, DANIELA | Vice President | 7765 SW 87 AVENUE SUITE 105, MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, ALEJANDRO | Secretary | 7765 SW 87 AVENUE SUITE 105, MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, ALEJANDRO | Treasurer | 7765 SW 87 AVENUE SUITE 105, MIAMI, FL 33173 |
| Name | Date |
|---|---|
| Domestic Non-Profit | 2024-02-02 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
