Entity Name: | GENESIS WELLNESS SUPPORT CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 31 Jan 2024 (a year ago) |
Document Number: | P24000008750 |
FEI/EIN Number | 99-1127987 |
Address: | 12651 S DIXIE HWY, 309, PINECREST, FL 33156 |
Mail Address: | 9333 SW 227TH ST, 1, CUTLER BAY, FL |
ZIP code: | 33156 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235993155 | 2024-02-12 | 2024-02-12 | 12651 S DIXIE HWY STE 309, PINECREST, FL, 331565961, US | 12651 S DIXIE HWY STE 309, PINECREST, FL, 331565961, US | |||||||||||||
|
Phone | +1 786-740-0516 |
Authorized person
Name | YISCEL MARIA PASCUAL BERMUDEZ |
Role | OWNER |
Phone | 7867400516 |
Taxonomy
Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PASCUAL BERMUDEZ, YISCEL M | Agent | 9333 SW 227TH ST, 1, CUTLER BAY, FL 33190 |
Name | Role | Address |
---|---|---|
PASCUAL BERMUDEZ, YISCEL M | President | 9333 SW 227TH ST, UNIT 1, CUTLER BAY, FL 33190 |
Name | Role | Address |
---|---|---|
APARICIO MACHADO, YIROMY M | Vice President | 22550 SW 103RD AVE, CUTLER BAY, FL 33190 |
Name | Date |
---|---|
Domestic Profit | 2024-01-31 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State