| Entity Name: | SUNSHINE BEHAVIOR HEALTH CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Nov 2022 (2 years ago) |
| Document Number: | P22000087853 |
| FEI/EIN Number | 92-1175379 |
| Address: | 2550 NW 72ND AVE, MIAMI, FL, 33122, US |
| Mail Address: | 2550 NW 72ND AVE, MIAMI, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801637319 | 2024-06-06 | 2024-06-06 | 2550 NW 72ND AVE STE 105, MIAMI, FL, 331221347, US | 2550 NW 72ND AVE STE 105, MIAMI, FL, 331221347, US | |||||||||||||||
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| Phone | +1 786-536-2012 |
| Fax | 7865362013 |
Authorized person
| Name | WIDAYESSI FERNANDEZ |
| Role | OWER |
| Phone | 7865362012 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ WIDAYESSI | Agent | 2550 NW 72ND AVE, MIAMI, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ WIDAYESSI | President | 2550 NW 72ND AVE, MIAMI, FL, 33122 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000006574 | SBHCINC | ACTIVE | 2025-01-14 | 2030-12-31 | No data | 2550 NW 72 AVE, SUITE 115-117, MIAMI, FL, 33122 |
| G23000024623 | SUNSHINE MEDICAL PRACTICES | ACTIVE | 2023-02-21 | 2028-12-31 | No data | 2550 NW 72ND AVE STE 115-117, MIAMI, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-03 | 2550 NW 72ND AVE, Suite 115-117, MIAMI, FL 33122 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-03 | 2550 NW 72ND AVE, Suite 115-117, MIAMI, FL 33122 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-21 |
| Domestic Profit | 2022-11-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
