| Entity Name: | VYTALYZE MINDS, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Aug 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Jun 2021 (4 years ago) |
| Document Number: | P20000059062 |
| FEI/EIN Number | 85-2375380 |
| Address: | 2300 W 84th St, Hialeah, FL, 33016, US |
| Mail Address: | 2300 W 84th St, Hialeah, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770218554 | 2022-07-18 | 2023-09-30 | 2300 W 84TH ST STE 601, HIALEAH, FL, 330165780, US | 2300 W 84TH ST STE 601, HIALEAH, FL, 330165780, US | |||||||||||||||||||||||||||
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| Phone | +1 305-363-4001 |
| Fax | 3053634002 |
Authorized person
| Name | OSVALDO LEON |
| Role | P |
| Phone | 3053634001 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114993600 |
| State | FL |
| Issuer | JCAHO |
| Number | 672191 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEON HERRERA OSVALDO | Agent | 2300 W 84th St, Hialeah, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| LEON HERRERA OSVALDO | President | 2300 W 84th St, Hialeah, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-12 | 2300 W 84th St, Ste 601, Hialeah, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-12 | 2300 W 84th St, Ste 601, Hialeah, FL 33016 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-12 | 2300 W 84th St, Ste 601, Hialeah, FL 33016 | No data |
| AMENDMENT | 2021-06-08 | No data | No data |
| AMENDMENT | 2020-08-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| AMENDED ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-07-10 |
| Amendment | 2021-06-08 |
| ANNUAL REPORT | 2021-04-30 |
| Amendment | 2020-08-20 |
| Domestic Profit | 2020-08-05 |
| Off/Dir Resignation | 2020-08-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
