| Entity Name: | CLINICA DEL BUEN SAMARITANO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jan 2024 (a year ago) |
| Document Number: | P24000007069 |
| Address: | 571 SW 142 AVE #403-O, PEMBROKE PINES, FL, 33027, US |
| Mail Address: | 571 SW 142 AVE #403-O, PEMBROKE PINES, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598507618 | 2024-06-10 | 2024-06-10 | 571 SW 142ND AVE # 403-0, PEMBROKE PINES, FL, 330276925, US | 571 SW 142ND AVE # 403-0, PEMBROKE PINES, FL, 330276925, US | |||||||||||||
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| Phone | +1 754-221-9238 |
Authorized person
| Name | ALEX TAPIA |
| Role | PRESIDENT |
| Phone | 7542219238 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAPIA ALEXIS | Agent | 571 SW 142 AVE #403-O, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| TAPIA ALEXIS | President | 571 SW 142 AVE #403-O, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| RIGAIL CRISTINA | Secretary | 571 SW 142 AVE #403-O, PEMBROKE PINES, FL, 33027 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
