| Entity Name: | NEUROCARE ASSOCIATES OF FLORIDA, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jul 2024 (7 months ago) |
| Document Number: | P24000045050 |
| Address: | 1950 SW 122ND AVENUE, 5C, MIAMI, FL 33175 |
| Mail Address: | 1950 SW 122ND AVENUE, 5C, MIAMI, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841021458 | 2024-08-13 | 2024-08-13 | 1950 SW 122ND AVE APT 5C, MIAMI, FL, 331757352, US | 19001 SW 106TH AVE STE C104, CUTLER BAY, FL, 331577669, US | |||||||||||||||||||||
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| Phone | +1 786-684-7809 |
Authorized person
| Name | DR. DAYANA RODRIGUEZ |
| Role | VICE PRESIDENT |
| Phone | 7866847809 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARZO, ARODIS | Agent | 1042 NW 47TH TERRACE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| MOLES, AMANDA M | President | 6600 MAIN STREET, APT 1304 MIAMI LAKES, FL 33014 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, DAYANA | Vice President | 1950 SW 122ND AVE, APT 5C MIAMI, FL 33175 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-03 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
