| Entity Name: | LA EDAD PREDIGIOSA COMMUNITY HEALTH CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Feb 2023 (2 years ago) |
| Document Number: | P23000012307 |
| FEI/EIN Number | 92-2401798 |
| Address: | 18900 SW 106 AVE STE 101-103, MIAMI, FL 33157 |
| Mail Address: | 18900 SW 106 AVE STE 101-103, MIAMI, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548946445 | 2023-06-26 | 2023-06-26 | 18900 SW 106 AVE STE101-103, MIAMI, FL, 33157, US | 18900 SW 106 AVE STE101-103, MIAMI, FL, 33157, US | |||||||||||||
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| Phone | +1 786-445-3446 |
Authorized person
| Name | KATIRIA DELISLE |
| Role | PRESIDENT |
| Phone | 7864453446 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KATIRIA DELISLE SAAP | Agent | 18900 SW 106 AVE STE 101-103, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| KATIRIA DELISLE SAAP | President | 18900 SW 106 AVE STE 101-103, MIAMI, FL 33157 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000023070 | LA EDAD PRODIGIOSA INC | ACTIVE | 2023-02-17 | 2028-12-31 | No data | 18900 SW 106 AVE STE 101-103, MIAMI, FL, 33157 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Domestic Profit | 2023-02-15 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
