| Entity Name: | GENTLE MINDS FAMILY CLINIC CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Apr 2024 (9 months ago) |
| Document Number: | P24000029060 |
| Address: | 2110 SW 12 TERRACE, CAPE CORAL, FL, 33991 |
| Mail Address: | PO BOX 960244, MIAMI, FL, 33296 |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346095247 | 2024-04-23 | 2024-04-23 | PO BOX 960244, MIAMI, FL, 332960244, US | 2110 SW 12TH TER, CAPE CORAL, FL, 339912203, US | |||||||||||||||||
|
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| Phone | +1 786-760-5826 |
Authorized person
| Name | SANDRA M DELGADO |
| Role | OWNER |
| Phone | 5618974189 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELGADO SANDRA M | Agent | 2110 SW 12 TERRACE, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| DELGADO SANDRA M | President | 15251 SW 56 TERRACE, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| OJEDA GUILLERMO | Vice President | 2110 SW 12 TERRACE, CAPE CORAL, FL, 33991 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
