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SUPER-PSYCH, CORP

Company Details

Entity Name: SUPER-PSYCH, CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 25 Apr 2023 (2 years ago)
Document Number: P23000032800
FEI/EIN Number 92-3761222
Address: 9011 SW 20TH ST, MIAMI, FL 33165
Mail Address: 9011 SW 20TH ST, MIAMI, FL 33165
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003506676 2023-05-08 2023-05-08 9011 SW 20TH ST, MIAMI, FL, 331658232, US 9011 SW 20TH ST, MIAMI, FL, 331658232, US

Contacts

Phone +1 786-905-7276

Authorized person

Name ROBERTO JAVIER SILVA HECTOR
Role PRESIDENT
Phone 7869057276

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
SILVA HECTOR, ROBERTO J Agent 9011 SW 20TH ST, MIAMI, FL 33165

President

Name Role Address
SILVA HECTOR, ROBERTO J President 9011 SW 20TH ST, MIAMI, FL 33165

Documents

Name Date
ANNUAL REPORT 2024-03-20
Domestic Profit 2023-04-25

Date of last update: 10 Feb 2025

Sources: Florida Department of State