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FAMILY EVOLUTION MENTAL HEALTH CARE INC

Company Details

Entity Name: FAMILY EVOLUTION MENTAL HEALTH CARE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Oct 2020 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Dec 2021 (3 years ago)
Document Number: P20000078227
FEI/EIN Number 85-3421699
Address: 8300 W FLAGLER ST, MIAMI, FL, 33144, US
Mail Address: 8300 W FLAGLER ST, MIAMI, FL, 33144, US
ZIP code: 33144
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558961110 2020-10-31 2023-10-09 8300 W FLAGLER ST STE 254C, MIAMI, FL, 331446002, US 8300 W FLAGLER ST STE 254C, MIAMI, FL, 331446002, US

Contacts

Phone +1 305-213-2644

Authorized person

Name ABDEL GOMEZ RODRIGUEZ
Role PRESIDENT
Phone 3052132644

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
BAUTE BASULTO MATILDE V Agent 8300 W FLAGLER ST, MIAMI, FL, 33144

President

Name Role Address
BAUTE BASULTO MATILDE V President 8300 W FLAGLER ST, MIAMI, FL, 33144

Vice President

Name Role Address
GOMEZ RODRIGUEZ ABDEL Vice President 1412 SW 22 AVE, MIAMI, FL, 33145

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-09-19 8300 W FLAGLER ST, STE 254C, MIAMI, FL 33144 No data
REGISTERED AGENT NAME CHANGED 2024-09-18 BAUTE BASULTO, MATILDE VICTORIA No data
AMENDMENT 2021-12-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-11-03 8300 W FLAGLER ST, STE 254C, MIAMI, FL 33144 No data
REINSTATEMENT 2021-11-03 No data No data
CHANGE OF MAILING ADDRESS 2021-11-03 8300 W FLAGLER ST, STE 254C, MIAMI, FL 33144 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-19
AMENDED ANNUAL REPORT 2024-09-18
ANNUAL REPORT 2024-03-29
AMENDED ANNUAL REPORT 2023-08-22
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-02-16
Amendment 2021-12-22
REINSTATEMENT 2021-11-03
Domestic Profit 2020-10-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State