| Entity Name: | MIGHTY HEALTH MEDICAL SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jan 2024 (a year ago) |
| Document Number: | P24000002810 |
| Address: | 390 NORTHEAST 191ST STREET, STE. 8174, MIAMI, FL, 33179, US |
| Mail Address: | 390 NORTHEAST 191ST STREET, STE. 8174, MIAMI, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295577724 | 2024-06-06 | 2024-06-06 | 390 NE 191ST ST STE 8174, MIAMI, FL, 331793899, US | 390 NE 191ST ST STE 8174, MIAMI, FL, 331793899, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 714-873-6202 |
Authorized person
| Name | JAMES LI |
| Role | CHIEF ADMINISTRATIVE OFFICER |
| Phone | 7148736202 |
Taxonomy
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 163WG0000X - General Practice Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 171400000X - Health & Wellness Coach |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ESTERMAN PHILIP | Agent | 382 NORTHEAST 191ST STREET, MIAMI, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| ESTERMAN BRADLEY J | Director | 7531 ESTRELLA CIRCLE, BOCA RATON, FL, 33433 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
