| Entity Name: | MYCLINIC WELLNESS CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Mar 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2023 (a year ago) |
| Document Number: | P21000029137 |
| FEI/EIN Number | 863557149 |
| Address: | 14201 S.W. 120 STREET, MIAMI, FL, 33186, US |
| Mail Address: | 14201 S.W. 120 STREET, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811561186 | 2021-05-19 | 2021-05-19 | 14201 SW 120TH ST STE 210, MIAMI, FL, 331867663, US | 14201 SW 120TH ST STE 210, MIAMI, FL, 331867663, US | |||||||||||||||||
|
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| Phone | +1 305-902-8137 |
Authorized person
| Name | RAFAEL A. UBEDA |
| Role | PRESIDENT |
| Phone | 3059028137 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| YANES YANET D | Agent | 14201 SW 120TH ST #210, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| UBEDA RAFAEL A | President | 14201 S.W. 120 STREET, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| YANES YANET D | Vice President | 14201 S.W. 120 STREET, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-12 | YANES, YANET D | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-27 | 14201 SW 120TH ST #210, MIAMI, FL 33186 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-16 | 14201 S.W. 120 STREET, SUITE 210, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-16 | 14201 S.W. 120 STREET, SUITE 210, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| REINSTATEMENT | 2023-10-12 |
| ANNUAL REPORT | 2022-07-15 |
| Reg. Agent Change | 2021-12-27 |
| Domestic Profit | 2021-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
