Entity Name: | ICARE MENTAL HEALTH INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 13 Dec 2023 (a year ago) |
Document Number: | P23000085454 |
FEI/EIN Number | 93-4769675 |
Address: | 12891 SW 62ND LN, MIAMI, FL 33183 |
Mail Address: | 12891 SW 62ND LN, MIAMI, FL 33183 |
ZIP code: | 33183 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487407268 | 2024-04-10 | 2024-11-05 | 12891 SW 62ND LN, MIAMI, FL, 331835450, US | 8532 SW 8TH ST STE 290, MIAMI, FL, 331444054, US | |||||||||||||||||||
|
Phone | +1 786-370-3039 |
Fax | 7863703039 |
Phone | +1 786-927-8048 |
Fax | 7865047034 |
Authorized person
Name | ISMEL FERNANDEZ-CALIENES |
Role | CEO |
Phone | 7863703039 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FERNANDEZ CALIENES, ISMEL | Agent | 12891 SW 62ND LN, MIAMI, FL 33183 |
Name | Role | Address |
---|---|---|
FERNANDEZ CALIENES, ISMEL | Director | 12891 SW 62ND LN, MIAMI, FL 33183 |
Name | Role | Address |
---|---|---|
FERNANDEZ CALIENES, ISMEL | President | 12891 SW 62ND LN, MIAMI, FL 33183 |
Name | Role | Address |
---|---|---|
FERNANDEZ CALIENES, ISMEL | Treasurer | 12891 SW 62ND LN, MIAMI, FL 33183 |
Name | Role | Address |
---|---|---|
FERNANDEZ CALIENES, ISMEL | Secretary | 12891 SW 62ND LN, MIAMI, FL 33183 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
Domestic Profit | 2023-12-13 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State