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SOUTH FLORIDA FAMILY TREATMENT LLC

Company Details

Entity Name: SOUTH FLORIDA FAMILY TREATMENT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Apr 2008 (17 years ago)
Document Number: L08000035070
FEI/EIN Number 770717657
Address: 6503 NW 66 WAY, PARKLAND, FL, 33067, US
Mail Address: 6503 NW 66 WAY, PARKLAND, FL, 33067, US
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912320417 2014-02-04 2014-02-04 6503 NW 66TH WAY, PARKLAND, FL, 330671415, US 7301 W PALMETTO PARK RD, SUITE 210C, BOCA RATON, FL, 334333458, US

Contacts

Phone +1 626-532-0789
Phone +1 561-368-0026

Authorized person

Name DR. JOANNE PECUCH
Role MEMBER
Phone 6265320789

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number PY7759
State FL
Is Primary Yes

Agent

Name Role Address
DESROCHERS ALEXSIS Agent 6503 NW 66 WAY, PARKLAND, FL, 33067

Managing Member

Name Role Address
DESROCHERS ALEXSIS Managing Member 6503 NW 66 WAY, PARKLAND, FL, 33067

Manager

Name Role Address
JOANNE PECUCH Manager 6503 NW 66 WAY, PARKLAND, FL, 33067

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2012-04-09 DESROCHERS, ALEXSIS No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-30 6503 NW 66 WAY, PARKLAND, FL 33067 No data
CHANGE OF MAILING ADDRESS 2009-04-30 6503 NW 66 WAY, PARKLAND, FL 33067 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-30 6503 NW 66 WAY, PARKLAND, FL 33067 No data

Documents

Name Date
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-23
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-04-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State