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EXCELLENCE MENTAL HEALTH, INC

Company Details

Entity Name: EXCELLENCE MENTAL HEALTH, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Jun 2018 (7 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: P18000051635
FEI/EIN Number 831005795
Address: 1490 West 49 Place, Hialeah, FL, 33012, US
Mail Address: 1490 West 49 Place, Hialeah, FL, 33012, US
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841786308 2018-07-09 2018-07-09 4445 W 16TH AVE STE 602, HIALEAH, FL, 330122960, US 4445 W 16TH AVE STE 602, HIALEAH, FL, 330122960, US

Contacts

Phone +1 786-558-9970

Authorized person

Name JOSE MANUEL MARTINEZ
Role PRESIDENT
Phone 7865589970

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
MARTINEZ JOSE MSR Agent 7840 SW 173 Terrace, Palmetto Bay, FL, 33157

President

Name Role Address
MARTINEZ JOSE MSR President 7840 SW 173 Terrace, Palmetto Bay, FL, 33157

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-06 1490 West 49 Place, 505, Hialeah, FL 33012 No data
CHANGE OF MAILING ADDRESS 2023-04-06 1490 West 49 Place, 505, Hialeah, FL 33012 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-07 7840 SW 173 Terrace, Palmetto Bay, FL 33157 No data
AMENDMENT 2020-12-14 No data No data

Documents

Name Date
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-05
Amendment 2020-12-14
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
Domestic Profit 2018-06-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State