| Entity Name: | BEHAVIORAL MEDICINE & PSYCHOTHERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jun 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Jan 2023 (2 years ago) |
| Document Number: | L08000059963 |
| FEI/EIN Number | 262811623 |
| Address: | 2401 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935, US |
| Mail Address: | 2401 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699937466 | 2008-07-01 | 2023-06-06 | 2401 W EAU GALLIE BLVD STE 1, MELBOURNE, FL, 329352765, US | 2340 DAIRY RD, SUITE 104, MELBOURNE, FL, 329045246, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 321-327-5952 |
| Fax | 3213275954 |
Authorized person
| Name | DR. LUIS MANUEL VINUELA |
| Role | MANAGER |
| Phone | 3217043042 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME94555 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1710943311 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Brutz Michael Mr. | Agent | 2351 W. Eau Gallie Blvd, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| VINUELA LUIS M | Managing Member | 2690 RANCHWOOD CT, MELBOURNE, FL, 32934 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2020-12-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-09-12 | 2351 W. Eau Gallie Blvd, SUITE 102, MELBOURNE, FL 32935 | No data |
| REINSTATEMENT | 2018-09-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-09-12 | Brutz, Michael, Mr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000745547 | TERMINATED | 1000000803246 | BREVARD | 2018-11-05 | 2028-11-07 | $ 396.38 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| REINSTATEMENT | 2023-01-20 |
| ANNUAL REPORT | 2021-04-30 |
| REINSTATEMENT | 2020-12-01 |
| REINSTATEMENT | 2019-10-20 |
| REINSTATEMENT | 2018-09-12 |
| ANNUAL REPORT | 2016-04-14 |
| REINSTATEMENT | 2015-11-10 |
| ANNUAL REPORT | 2014-03-29 |
| REINSTATEMENT | 2013-10-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
