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FED HELP MEDICAL OF WEST BROWARD CORP

Company Details

Entity Name: FED HELP MEDICAL OF WEST BROWARD CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Jan 2019 (6 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 28 Mar 2019 (6 years ago)
Document Number: P19000003218
FEI/EIN Number 833175255
Address: 11430 N KENDALL DR, SUITE 106, MIAMI, FL, 33176, US
Mail Address: 11430 N KENDALL DR, SUITE 106, MIAMI, FL, 33176, US
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255955357 2020-06-04 2021-05-21 11430 N KENDALL DR STE 106, MIAMI, FL, 331761041, US 11430 N KENDALL DR STE 106, MIAMI, FL, 331761041, US

Contacts

Phone +1 786-312-0359

Authorized person

Name YARISBEL GALLARDO
Role CEO
Phone 7867031605

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No

Agent

Name Role Address
GALLARDO YARISBEL Agent 11430 N KENDALL DR, MIAMI, FL, 33176

President

Name Role Address
GALLARDO YARISBEL President 11430 N KENDALL DR, MIAMI, FL, 33176

Vice President

Name Role Address
FERNANDEZ YANET Vice President 11430 N KENDALL DR, MIAMI, FL, 33176

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000046151 ENCANTO HEALTH & COMMUNITY SERVICES ACTIVE 2020-04-27 2025-12-31 No data 11430 N KENDALL DR #106, MIAMI, FL, 33176

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-05-26 11430 N KENDALL DR, SUITE 106, MIAMI, FL 33176 No data
CHANGE OF MAILING ADDRESS 2020-05-26 11430 N KENDALL DR, SUITE 106, MIAMI, FL 33176 No data
REGISTERED AGENT ADDRESS CHANGED 2020-05-26 11430 N KENDALL DR, SUITE 106, MIAMI, FL 33176 No data
REGISTERED AGENT NAME CHANGED 2020-04-27 GALLARDO, YARISBEL No data
AMENDMENT AND NAME CHANGE 2019-03-28 FED HELP MEDICAL OF WEST BROWARD CORP No data
AMENDMENT 2019-01-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-28
AMENDED ANNUAL REPORT 2020-05-26
AMENDED ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2020-01-17
Amendment and Name Change 2019-03-28
Amendment 2019-01-22
Domestic Profit 2019-01-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State