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MAS VIDA MEDICAL CENTER CORP

Company Details

Entity Name: MAS VIDA MEDICAL CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 31 Jan 2024 (a year ago)
Last Event: AMENDMENT
Event Date Filed: 07 Jun 2024 (8 months ago)
Document Number: P24000008609
FEI/EIN Number 99-1123072
Address: 15190 SW 136 ST, UNIT-11, MIAMI, FL 33196
Mail Address: 15190 SW 136 ST, UNIT-11, MIAMI, FL 33196
ZIP code: 33196
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881411304 2024-09-25 2024-09-25 15190 SW 136TH ST STE 11, MIAMI, FL, 331962618, US 15190 SW 136TH ST STE 11, MIAMI, FL, 331962618, US

Contacts

Phone +1 786-701-8416

Authorized person

Name LETICIA MENES
Role PRESIDENT
Phone 7865873606

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
MENES, LETICIA Agent 15190 SW 136 ST, UNIT-11, MIAMI, FL 33196

President

Name Role Address
MENES, LETICIA President 19280 SW 228 ST, MIAMI, FL 33170

Events

Event Type Filed Date Value Description
AMENDMENT 2024-06-07 No data No data

Documents

Name Date
Amendment 2024-06-07
Domestic Profit 2024-01-31

Date of last update: 08 Feb 2025

Sources: Florida Department of State