Entity Name: | SAILOR HEALTH MEDICAL, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 15 Oct 2024 (4 months ago) |
Document Number: | P24000064057 |
Address: | 2332 GALIANO ST. 2ND FLOOR, CORAL GABLES, FL 33134 |
Mail Address: | 2332 GALIANO ST. 2ND FLOOR, CORAL GABLES, FL 33134 |
ZIP code: | 33134 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1841012960 | 2024-10-29 | 2024-10-29 | 2332 GALIANO ST FL 2, CORAL GABLES, FL, 331345402, US | 2332 GALIANO ST FL 2, CORAL GABLES, FL, 331345402, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 786-269-0333 |
Authorized person
Name | MR. SAMI EL SOLH |
Role | OPERATIONS ADMINISTRATOR |
Phone | 7862690333 |
Taxonomy
Taxonomy Code | 101Y00000X - Counselor |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | Yes |
Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
Is Primary | No |
Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
Is Primary | No |
Taxonomy Code | 104100000X - Social Worker |
Is Primary | No |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | No |
Taxonomy Code | 106H00000X - Marriage & Family Therapist |
Is Primary | No |
Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
Is Primary | No |
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | No |
Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
Is Primary | No |
Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | No |
Taxonomy Code | 364SP0813X - Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
Is Primary | No |
Name | Role |
---|---|
COGENCY GLOBAL INC. | Agent |
Name | Role | Address |
---|---|---|
BRENT JOYE, DAVID | P D | 2332 GALIANO ST. 2ND FLOOR, CORAL GABLES, FL 33134 |
Name | Date |
---|---|
Domestic Profit | 2024-10-15 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State