Entity Name: | MILAGROS HUBERMAN, L.M.H.C., N.C.C., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 24 Aug 2006 (19 years ago) |
Document Number: | P06000110931 |
FEI/EIN Number | 205455011 |
Address: | 20801 BISCAYNE BOULEVARD, AVENTURA, FL, 33180, US |
Mail Address: | P.O. BOX 601173, NORTH MIAMI BEACH, FL, 33160, US |
ZIP code: | 33180 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962621508 | 2007-04-24 | 2010-10-18 | PO BOX 601173, NORTH MIAMI BEACH, FL, 331601173, US | 350 NW 70TH AVE, SUITE A, PLANTATION, FL, 333172349, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 305-409-7052 |
Phone | +1 954-587-7520 |
Authorized person
Name | MRS. MILAGROS HUBERMAN |
Role | PRESIDENT |
Phone | 3054097052 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | MH 3927 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 762463800 |
State | FL |
Issuer | NATIONAL CERTIFIED COUNSE |
Number | 42949 |
Issuer | LICENSED MENTAL HEALTH |
Number | MH 3927 |
State | FL |
Name | Role | Address |
---|---|---|
SHAPIRO IRA R | Agent | 16375 NE 18TH AVE, N MIAMI BEACH, FL, 33162 |
Name | Role | Address |
---|---|---|
HUBERMAN MILAGROS | President | P.O. BOX 601173, NORTH MIAMI BEACH, FL, 33160 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-04-29 | 20801 BISCAYNE BOULEVARD, SUITE 403, AVENTURA, FL 33180 | No data |
CHANGE OF MAILING ADDRESS | 2011-04-30 | 20801 BISCAYNE BOULEVARD, SUITE 403, AVENTURA, FL 33180 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-23 |
ANNUAL REPORT | 2024-03-18 |
ANNUAL REPORT | 2023-03-11 |
ANNUAL REPORT | 2022-01-10 |
ANNUAL REPORT | 2021-03-23 |
ANNUAL REPORT | 2020-06-26 |
ANNUAL REPORT | 2019-04-29 |
ANNUAL REPORT | 2018-04-09 |
ANNUAL REPORT | 2017-03-07 |
ANNUAL REPORT | 2016-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State