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M.I.S MENTAL HEALTH SERVICES CORP

Company Details

Entity Name: M.I.S MENTAL HEALTH SERVICES CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Apr 2018 (7 years ago)
Date of dissolution: 14 Jan 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 14 Jan 2024 (a year ago)
Document Number: P18000032837
FEI/EIN Number 82-5156267
Address: 5080 NW 74TH AVE, MIAMI, FL, 33166, US
Mail Address: 5080 NW 74TH AVE, MIAMI, FL, 33166, US
ZIP code: 33166
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154099455 2021-09-01 2023-10-27 5080 NW 74TH AVE, MIAMI, FL, 331665554, US 5080 NW 74TH AVE, MIAMI, FL, 331665554, US

Contacts

Phone +1 305-562-4396
Fax 3056312180

Authorized person

Name MRS. SUSANA LAY TEJEDA
Role PRESIDENT
Phone 3055624396

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
AMORES POMARES LAURA E Agent 5080 NW 74TH AVE, MIAMI, FL, 33166

President

Name Role Address
MORALES ROGELIO President 8316 NW 195TH TERR, HIALEAH, FL, 33015

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-01-14 No data No data
REGISTERED AGENT NAME CHANGED 2023-10-20 AMORES POMARES, LAURA E No data
CHANGE OF PRINCIPAL ADDRESS 2023-08-02 5080 NW 74TH AVE, MIAMI, FL 33166 No data
CHANGE OF MAILING ADDRESS 2023-08-02 5080 NW 74TH AVE, MIAMI, FL 33166 No data
REGISTERED AGENT ADDRESS CHANGED 2023-08-02 5080 NW 74TH AVE, MIAMI, FL 33166 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-01-14
AMENDED ANNUAL REPORT 2023-10-20
AMENDED ANNUAL REPORT 2023-08-03
AMENDED ANNUAL REPORT 2023-08-02
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-02-25
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-04-09
Domestic Profit 2018-04-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State