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GENESIS WELLNESS SUPPORT CORP

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PASCUAL BERMUDEZ, YISCEL M Agent 9333 SW 227TH ST, 1, CUTLER BAY, FL 33190

President

Name Role Address
PASCUAL BERMUDEZ, YISCEL M President 9333 SW 227TH ST, UNIT 1, CUTLER BAY, FL 33190

Vice President

Name Role Address
APARICIO MACHADO, YIROMY M Vice President 22550 SW 103RD AVE, CUTLER BAY, FL 33190

Documents

Name Date
Domestic Profit 2024-01-31

Date of last update: 08 Feb 2025

Sources: Florida Department of State