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BRIGHTSTAR COMMUNITY MENTAL CORP

Company Details

Entity Name: BRIGHTSTAR COMMUNITY MENTAL CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jun 2019 (6 years ago)
Last Event: AMENDMENT
Event Date Filed: 13 May 2022 (3 years ago)
Document Number: P19000046845
FEI/EIN Number 84-2035187
Address: 3970 WEST FLAGLER ST, CORAL GABLES, FL, 33134, US
Mail Address: 3970 WEST FLAGLER ST, SUITE 102, CORAL GABLES, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528610136 2019-07-13 2023-03-16 3970 W FLAGLER ST STE 102, CORAL GABLES, FL, 331341642, US 3970 W FLAGLER ST STE 102, CORAL GABLES, FL, 331341642, US

Contacts

Phone +1 786-266-0956

Authorized person

Name JORGE L MANSO
Role PRESIDENT
Phone 7862660956

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Agent

Name Role Address
MANSO JORGE L Agent 3970 WEST FLAGLER ST, CORAL GABLES, FL, 33134

President

Name Role Address
MANSO JORGE L President 3970 WEST FLAGLER ST., STE 102, CORAL GABLES, FL, 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000062309 BRIGHTSTAR MEDICAL CENTER ACTIVE 2022-05-18 2027-12-31 No data 3970 WEST FLAGLER ST SUITE 102, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-13 3970 WEST FLAGLER ST, SUITE 102, CORAL GABLES, FL 33134 No data
AMENDMENT 2022-05-13 No data No data
CHANGE OF MAILING ADDRESS 2022-05-13 3970 WEST FLAGLER ST, SUITE 102, CORAL GABLES, FL 33134 No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-13 3970 WEST FLAGLER ST, SUITE 102, CORAL GABLES, FL 33134 No data
AMENDMENT 2020-09-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-01-13
Amendment 2022-05-13
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-04-29
Amendment 2020-09-10
ANNUAL REPORT 2020-03-13
Domestic Profit 2019-06-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State