| 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 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568239622 | 2023-12-08 | 2024-09-16 | 8870 SW 92ND CT, MIAMI, FL, 331762008, US | 8870 SW 92ND CT, MIAMI, FL, 331762008, US | |||||||||||||||||||||||||||
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| Phone | +1 786-247-2717 |
| Fax | 7862213853 |
Authorized person
| Name | MR. ALEJANDRO PEREZ |
| Role | PRESIDENT |
| Phone | 7862472717 |
Taxonomy
| Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ ALEJANDRO | Agent | 8870 SW 92ND CT, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| PEREZ ALEJANDRO | President | 8870 SW 92ND CT, MIAMI, FL, 33176 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| Domestic Profit | 2023-06-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
