| Entity Name: | VITALIZE HEALTH COMMUNITY MENTAL CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Mar 2024 (a year ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Jun 2024 (8 months ago) |
| Document Number: | P24000019861 |
| FEI/EIN Number | 99-2100785 |
| Address: | 14221 SW 120ST, STE 218, MIAMI, FL 33186 |
| Mail Address: | 14221 SW 120ST, STE 218, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578308938 | 2024-06-27 | 2024-06-27 | 14221 SW 120TH ST STE 218, MIAMI, FL, 331864225, US | 14221 SW 120TH ST STE 218, MIAMI, FL, 331864225, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-542-5184 |
Authorized person
| Name | MS. JENNIFER RIVERO RIVERO |
| Role | VICE PRESIDENT |
| Phone | 7866600283 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QA0005X - Ambulatory Family Planning Facility |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GARCIA, CHABELY | Agent | 14221 SW 120ST, STE 218, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| GARCIA, CHABELY | President | 14221 SW 120ST, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| RIVERO RIVERO, JENNIFER | Vice President | 14221 SW 120ST, MIAMI, FL 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-06-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-20 | 14221 SW 120ST, STE 218, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-20 | 14221 SW 120ST, STE 218, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-20 | 14221 SW 120ST, STE 218, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| Amendment | 2024-06-20 |
| Domestic Profit | 2024-03-20 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
