| Entity Name: | VIDA PLENA MEDICAL GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Oct 2024 (4 months ago) |
| Document Number: | P24000062451 |
| Address: | 5040 NW 7TH ST, STE 530, MIAMI, FL 33126 |
| Mail Address: | 5040 NW 7TH ST, STE 530, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558182667 | 2024-10-21 | 2024-10-21 | 5040 NW 7TH ST STE 530, MIAMI, FL, 331263432, US | 5040 NW 7TH ST STE 530, MIAMI, FL, 331263432, US | |||||||||||||
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| Phone | +1 786-536-0117 |
Authorized person
| Name | DUNIA BENITEZ GONZALEZ |
| Role | OWNER |
| Phone | 7865360117 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENITEZ, DUNIA | Agent | 5040 NW 7TH ST, STE 530, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| BENITEZ, DUNIA | President | 5040 NW 7TH ST, STE 530, MIAMI, FL 33126 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-10-08 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
