| Entity Name: | AMETHYST HEALTH GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Mar 2021 (4 years ago) |
| Document Number: | P21000027482 |
| FEI/EIN Number | 86-2928022 |
| Address: | 7921 BIRD ROAD, STE 40, MIAMI, FL 33155 |
| Mail Address: | 7921 BIRD ROAD, STE 40, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346929064 | 2023-07-12 | 2023-07-27 | 7921 BIRD RD STE 40, MIAMI, FL, 331556747, US | 7921 BIRD RD STE 40, MIAMI, FL, 331556747, US | |||||||||||||
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| Phone | +1 305-305-6573 |
Authorized person
| Name | BELKIS M PLASENCIA |
| Role | PRESIDENT |
| Phone | 3053056573 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PLASENCIA, BELKIS | Agent | 19800 SW 180 AVE #465, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| PLASENCIA, BELKIS | Director | 19800 SW 180 AVE #465, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| PLASENCIA, BELKIS | President | 19800 SW 180 AVE #465, MIAMI, FL 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-03 | 7921 BIRD ROAD, STE 40, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-03 | 7921 BIRD ROAD, STE 40, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-28 |
| Domestic Profit | 2021-03-29 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
