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CULTIVATE HEALTH, CORP

Company Details

Entity Name: CULTIVATE HEALTH, CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Sep 2023 (a year ago)
Last Event: AMENDMENT
Event Date Filed: 26 Sep 2023 (a year ago)
Document Number: P23000063811
FEI/EIN Number 93-3254250
Address: 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169
Mail Address: 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169
ZIP code: 33169
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093541781 2024-09-10 2024-09-10 160 NW 176TH ST STE 207-1, MIAMI GARDENS, FL, 331695042, US 160 NW 176TH ST STE 207-1, MIAMI GARDENS, FL, 331695042, US

Contacts

Phone +1 786-271-1584

Authorized person

Name MARIO LUIS MOLINA
Role AUTHORIZED OFFICIAL
Phone 7862711584

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
MOLINA, MARIO LUIS Agent 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169

President

Name Role Address
MOLINA, MARIO LUIS President 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169

Events

Event Type Filed Date Value Description
AMENDMENT 2023-09-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-09-26 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169 No data
CHANGE OF MAILING ADDRESS 2023-09-26 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169 No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-26 160 NW 176TH ST SUITE 207-1, MIAMI GARDENS, FL 33169 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
Amendment 2023-09-26
Domestic Profit 2023-09-06

Date of last update: 09 Jan 2025

Sources: Florida Department of State