| Name: | Mindbloom Provider Group, P.A. |
| Jurisdiction: | Alaska |
| Legal type: | Business Corporation |
| Status: | Good Standing |
| Date of registration: | 24 Dec 2021 (3 years ago) |
| Branch of: | Mindbloom Provider Group, P.A., FLORIDA (Company Number P19000040303) |
| Brand Name: | Mindbloom Provider Group, Ltd. |
| Entity Number: | 10182761 |
| Place of Formation: | FLORIDA |
| Address: | 1317 EDGEWATER DR., # 1583, ORLANDO, FL 32804 |
Line of Business
62 Health Care and Social AssistanceNAICS
621999 ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES| Name | Role |
|---|---|
| Leonardo Vando | Director |
| Leonardo Vando | President |
| Leonardo Vando | Shareholder |
| Northwest Registered Agent Inc | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2146375 | Business License | Active | 2021-12-28 | 2023-11-30 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621999 - ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
