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EBH SERVICES OF FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: EBH SERVICES OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 09 Aug 2012 (13 years ago)
Date of dissolution: 06 Sep 2019 (6 years ago)
Last Event: REVOKED FOR REGISTERED AGENT
Event Date Filed: 06 Sep 2019 (6 years ago)
Document Number: F12000003304
FEI/EIN Number 46-0726802

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 5000 Airport Plaza Drive, LONG BEACH, CA, 90815, US
Address: 112-118 N Oak St, Lantana, FL, 33462, US
ZIP code: 33462
County: Palm Beach
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437519055 2016-02-24 2016-05-05 PO BOX 670521, DALLAS, TX, 752670521, US 112 N OAK ST, SUITE 109, LANTANA, FL, 334623260, US

Contacts

Phone +1 615-567-7282
Phone +1 561-337-2600

Authorized person

Name CHERYL MAPLESDEN
Role DIRECTOR, REVENUE CYCLE
Phone 6155103708

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number ME110917
State FL
Is Primary Yes
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
License Number ARNP1688752
State FL
Is Primary No
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
License Number ARNP3156662
State FL
Is Primary No
Taxonomy Code 364SF0001X - Family Health Clinical Nurse Specialist
License Number RN9366620
State FL
Is Primary No

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
SACK DAVID Dr. Chief Executive Officer 5000 Airport Plaza Drive, LONG BEACH, CA, 90815
Poan Nicholas Secretary 5000 Airport Plaza Drive, LONG BEACH, CA, 90815

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000013964 LUCIDA TREATMENT CENTER EXPIRED 2019-01-25 2024-12-31 - 5000 AIRPORT PLAZA DRIVE, SUITE 100, LONG BEACH, CA, 90815
G13000068595 LUCIDA TREATMENT CENTER EXPIRED 2013-07-09 2018-12-31 - 112 NORTH OAK STREET, UNITS 101-109, LANTANA, FL, 33462
G13000050989 LUCIDA TREATMENT FACILITY EXPIRED 2013-05-31 2018-12-31 - 112 NORTH OAK STREET, UNITS 101-109, LANTANA, FL, 33462

Events

Event Type Filed Date Value Description
REVOKED FOR REGISTERED AGENT 2019-09-06 - -
CHANGE OF PRINCIPAL ADDRESS 2017-04-26 112-118 N Oak St, Lantana, FL 33462 -
CHANGE OF MAILING ADDRESS 2017-04-26 112-118 N Oak St, Lantana, FL 33462 -

Documents

Name Date
Revoked for Registered Agent 2019-09-06
Reg. Agent Resignation 2019-04-15
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-08-14
ANNUAL REPORT 2014-06-23
ANNUAL REPORT 2013-02-21
Foreign Profit 2012-08-09

Date of last update: 02 Apr 2025

Sources: Florida Department of State