OPTUM BEHAVIORAL CARE OF NORTH CAROLINA, P.C., INC.

Company Details

Entity Name:	OPTUM BEHAVIORAL CARE OF NORTH CAROLINA, P.C., INC.
Jurisdiction:	FLORIDA
Filing Type:	Foreign Profit Corporation
Status:	Active
Date Filed:	13 Dec 2023 (a year ago)
Document Number:	F23000006897
FEI/EIN Number	85-1959641
Address:	150 SOUTH FIFTH STREET, SUITE 825, MINNEAPOLIS, MN 55402
Mail Address:	150 SOUTH FIFTH STREET, SUITE 825, MINNEAPOLIS, MN 55402
Place of Formation:	NORTH CAROLINA

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1033984448

2023-11-16

11000 OPTUM CIR, EDEN PRAIRIE, MN, 553442503, US

1090 S TAMIAMI TRL, SARASOTA, FL, 342369116, US

Contacts

Phone	+1 704-506-6267
Phone	+1 941-363-0878

Authorized person

Taxonomy

Taxonomy Code	103TC1900X - Counseling Psychologist
Is Primary	Yes

Name	Role
C T CORPORATION SYSTEM	Agent

Name	Role	Address
Gorrindo, Tristan, M.D	President	150 SOUTH FIFTH STREET, SUITE 825, MINNEAPOLIS, MN 55402

Name	Role	Address
Gorrindo, Tristan, M.D	Treasurer	150 SOUTH FIFTH STREET, SUITE 825, MINNEAPOLIS, MN 55402

Name	Role	Address
Gorrindo, Tristan, M.D	Secretary	150 SOUTH FIFTH STREET, SUITE 825, MINNEAPOLIS, MN 55402

Name	Role	Address
Gorrindo, Tristan, M.D	Director	150 SOUTH FIFTH STREET, SUITE 825, MINNEAPOLIS, MN 55402

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G23000156012	COMPREHENSIVE MED PSYCH SYSTEMS OF FLORIDA	ACTIVE	2023-12-22	2028-12-31	No data	150 SOUTH FIFTH STREET, MINNEAPOLIS, MN, 55402
G23000156011	OPTUM BEHAVIORAL CARE OF FLORIDA	ACTIVE	2023-12-22	2028-12-31	No data	150 SOUTH FIFTH STREET SUITE 825, MINNEAPOLIS, MN, 55402

Name	Date
ANNUAL REPORT	2024-04-23
Foreign Profit	2023-12-13

Date of last update: 09 Feb 2025