| Entity Name: | COGNITIVE HEALTH NETWORK, CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Mar 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Dec 2017 (7 years ago) |
| Document Number: | P07000039221 |
| FEI/EIN Number | 208748797 |
| Address: | 5801 NW 151 Street, Miami Lakes, FL, 33014, US |
| Mail Address: | 5801 NW 151 Street, Miami Lakes, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508508052 | 2022-04-13 | 2022-09-12 | 5801 NW 151ST ST STE 202, MIAMI LAKES, FL, 330142437, US | 5801 NW 151ST ST, MIAMI LAKES, FL, 330142494, US | |||||||||||||||
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| Phone | +1 305-557-6755 |
| Fax | 3055571636 |
Authorized person
| Name | ANGIE IRIBAR |
| Role | ADMINISTRATIVE ASSISTANT |
| Phone | 3055576755 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COGNITIVE HEALTH NETWORK, CORP 401 K PROFIT SHARING PLAN TRUST | 2018 | 208748797 | 2019-07-23 | COGNITIVE HEALTH NETWORK | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-07-23 |
| Name of individual signing | OMAR LORENZO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LORENZO OMAR P | Agent | 5801 NW 151 Street, Miami Lakes, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| LORENZO OMAR P | President | 5801 NW 151 Street, Miami Lakes, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| LORENZO OMAR P | Secretary | 5801 NW 151 Street, Miami Lakes, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| LORENZO OMAR P | Treasurer | 5801 NW 151 Street, Miami Lakes, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| Lorenzo Aileen M | Admi | 5801 NW 151 Street, Miami Lakes, FL, 33014 |
| Lorenzo Cindy M | Admi | 5801 NW 151 Street, Miami Lakes, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000072568 | OMAR LORENZO, PSY.D. | ACTIVE | 2022-06-15 | 2027-12-31 | No data | 5801 NW 151 ST, SUITE 202, MIAMI LAKES, FL, 33014 |
| G15000061448 | OMAR LORENZO, PSY.D. | EXPIRED | 2015-06-16 | 2020-12-31 | No data | 1435 W 49TH PLACE, SUITE 304, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-28 | 5801 NW 151 Street, 202, Miami Lakes, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-28 | 5801 NW 151 Street, 202, Miami Lakes, FL 33014 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-28 | 5801 NW 151 Street, 202, Miami Lakes, FL 33014 | No data |
| REINSTATEMENT | 2017-12-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-19 | LORENZO, OMAR PSY.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-01-25 |
| REINSTATEMENT | 2017-12-19 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
