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LA EDAD PREDIGIOSA COMMUNITY HEALTH CENTER INC - Florida Company Profile

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Company Details

Entity Name: LA EDAD PREDIGIOSA COMMUNITY HEALTH CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Feb 2023 (2 years ago)
Document Number: P23000012307
FEI/EIN Number 922401798
Address: 18900 SW 106 AVE STE 101-103, MIAMI, FL, 33157, US
Mail Address: 18900 SW 106 AVE STE 101-103, MIAMI, FL, 33157, US
ZIP code: 33157
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KATIRIA DELISLE SAAP Agent 18900 SW 106 AVE STE 101-103, MIAMI, FL, 33157
KATIRIA DELISLE SAAP President 18900 SW 106 AVE STE 101-103, MIAMI, FL, 33157

National Provider Identifier

NPI Number:
1548946445
Certification Date:
2023-06-26

Authorized Person:

Name:
KATIRIA DELISLE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fictitious Names

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 - 18900 SW 106 AVE STE 101-103, MIAMI, FL, 33157

Documents

Name Date
ANNUAL REPORT 2024-04-02
Domestic Profit 2023-02-15

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Date of last update: 02 Jul 2025

Sources: Florida Department of State