| Entity Name: | REGIONS PRAXIS CARE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Mar 2020 (5 years ago) |
| Document Number: | P20000021200 |
| FEI/EIN Number | 84-5127241 |
| Address: | 9299 SW 152 Street, Suite 200N, MIAMI, FL, 33157, US |
| Mail Address: | 9299 SW 152 Street, Suite 200N, MIAMI, FL, 33157, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083299671 | 2021-03-15 | 2024-09-25 | 15821 SW 106TH AVE, MIAMI, FL, 331571512, US | 9299 SW 152ND ST STE 200N, PALMETTO BAY, FL, 331571776, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-479-6538 |
| Fax | 7864291704 |
| Phone | +1 786-634-1952 |
| Fax | 7865653940 |
Authorized person
| Name | YAMILET OLIVER GUERRA |
| Role | OWNER |
| Phone | 3054796538 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DOH |
| Number | APRN9410570 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLIVER YAMILET | Agent | 15821 SW 106 AVE, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| OLIVER YAMILET | President | 9299 SW 152 Street, Suite 200N, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| OLIVER YAMILET | Director | 9299 SW 152 Street, Suite 200N, MIAMI, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-12 | 9299 SW 152 Street, Suite 200N, MIAMI, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-12 | 9299 SW 152 Street, Suite 200N, MIAMI, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-04-15 |
| Domestic Profit | 2020-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
