| Entity Name: | BRENDA RIVERA, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Apr 2015 (10 years ago) |
| Document Number: | P15000034301 |
| FEI/EIN Number | 47-3739908 |
| Mail Address: | 14707 S. Dixie Highway, Miami, FL, 33176, US |
| Address: | 14707 S.Dixie Highway, Miami, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710676093 | 2023-05-03 | 2023-05-03 | 18220 SW 97TH AVE, PALMETTO BAY, FL, 331575502, US | 18220 SW 97TH AVE, PALMETTO BAY, FL, 331575502, US | |||||||||||||
|
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| Phone | +1 786-592-1574 |
Authorized person
| Name | BRENDA RIVERA |
| Role | OWNER |
| Phone | 7862695181 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERA BRENDA PSY.D. | Agent | 14707 S.Dixie Highway, Miami, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| RIVERA BRENDA | President | 14707 S.Dixie Highway, Miami, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| RIVERA BRENDA | Director | 14707 S.Dixie Highway, Miami, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-02 | 14707 S.Dixie Highway, Suite #200, Miami, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-02 | 14707 S.Dixie Highway, Suite #200, Miami, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-02 | 14707 S.Dixie Highway, Suite #200, Miami, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-04 | 18220 SW 97TH AVENUE, PALMETTO BAY, FL 33157 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-29 | 18220 SW 97th Ave, Palmetto Bay, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-29 | 18220 SW 97th Ave, Palmetto Bay, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-05-01 |
| Reg. Agent Change | 2022-05-02 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-02-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
