| Entity Name: | GOMEZ CLINIC CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Nov 2022 (2 years ago) |
| Document Number: | P22000085034 |
| FEI/EIN Number | 92-1174501 |
| Address: | 6583 SW 39TH TER, MIAMI, FL 33155 |
| Mail Address: | 6583 SW 39TH TER, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477264695 | 2022-12-08 | 2023-08-04 | 6583 SW 39TH TER STE B, MIAMI, FL, 331554821, US | 6583 SW 39TH TER STE B, MIAMI, FL, 331554821, US | |||||||||||||||||||||
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| Phone | +1 305-300-5551 |
| Phone | +1 786-747-4949 |
| Fax | 7867561010 |
Authorized person
| Name | ERIC CAMPILLO |
| Role | DIRECTOR |
| Phone | 3053005551 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOMEZ GARCIA, ANILEY | Agent | 6583 SW 39TH TER, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| GOMEZ GARCIA, ANILEY | President | 6583 SW 39TH TER, MIAMI, FL 33155 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-01 |
| Domestic Profit | 2022-11-08 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
