| Entity Name: | MIRACLE COMMUNITY BEHAVIORAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MIRACLE COMMUNITY BEHAVIORAL CENTER CORP is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Aug 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Dec 2020 (4 years ago) |
| Document Number: | P20000067872 |
| FEI/EIN Number |
85-2824243
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 15660 SW 72 ST, MIAMI, FL, 33193, US |
| Mail Address: | 15660 SW 72 ST, MIAMI, FL, 33193, US |
| ZIP code: | 33193 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700491552 | 2020-09-09 | 2023-08-25 | 15660 SW 72ND ST, MIAMI, FL, 331931923, US | 15660 SW 72ND ST, MIAMI, FL, 331931923, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-697-1150 |
Authorized person
| Name | BRISAIDA DUARTE |
| Role | CEO |
| Phone | 7866971150 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 118354400 |
| State | FL |
| Issuer | HEALTH CARE CLINIC CERTIFICATE (AHCA) |
| Number | 42711 |
| State | FL |
| Issuer | CAQH |
| Number | 15527884 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUARTE BRISAIDA | President | 15660 SW 72 ST, MIAMI, FL, 33193 |
| DUARTE BRISAIDA | Agent | 15660 SW 72 ST, MIAMI, FL, 33193 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000088754 | MIRACLE MEDICAL | ACTIVE | 2021-07-06 | 2026-12-31 | - | 15660 SW 72 ST, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-27 | 15660 SW 72 ST, MIAMI, FL 33193 | - |
| AMENDMENT | 2020-12-16 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| AMENDED ANNUAL REPORT | 2023-05-18 |
| ANNUAL REPORT | 2023-03-30 |
| AMENDED ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-19 |
| Amendment | 2020-12-16 |
| Domestic Profit | 2020-08-25 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
