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PSYCHEMEND FLORIDA PA - Florida Company Profile

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Company Details

Entity Name: PSYCHEMEND FLORIDA PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jun 2023 (2 years ago)
Document Number: P23000047665
FEI/EIN Number 93-2101184
Address: 8870 SW 92ND CT, MIAMI, FL, 33176
Mail Address: 8870 SW 92ND CT, MIAMI, FL, 33176
ZIP code: 33176
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PEREZ ALEJANDRO President 8870 SW 92ND CT, MIAMI, FL, 33176
PEREZ ALEJANDRO Agent 8870 SW 92ND CT, MIAMI, FL, 33176

National Provider Identifier

NPI Number:
1568239622
Certification Date:
2024-09-16

Authorized Person:

Name:
MR. ALEJANDRO PEREZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
163WW0000X - Wound Care Registered Nurse
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
163WP0808X - Psychiatric/Mental Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7862213853

Documents

Name Date
ANNUAL REPORT 2024-03-19
Domestic Profit 2023-06-22

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Date of last update: 02 Aug 2025

Sources: Florida Department of State