| Entity Name: | ALPHA OUTPATIENT CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Feb 2009 (16 years ago) |
| Date of dissolution: | 08 Nov 2010 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Nov 2010 (14 years ago) |
| Document Number: | L09000014770 |
| FEI/EIN Number | 264257490 |
| Address: | 2247 PALM BEACH LAKES BLVD, SUITE 108, PORT-ST-LUCIE, FL, 34983 |
| Mail Address: | 2247 PALM BEACH LAKES BLVD, SUITE 108, PORT-ST-LUCIE, FL, 34983 |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457667412 | 2010-08-27 | 2010-08-27 | 126 N FLAGLER AVE, POMPANO BEACH, FL, 330606635, US | 126 N FLAGLER AVE, POMPANO BEACH, FL, 330606635, US | |||||||||||||||||||
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| Phone | +1 954-942-7500 |
| Fax | 9549427795 |
Authorized person
| Name | DR. YANIQUE DUVAL |
| Role | VICE PRESIDENT |
| Phone | 5616871304 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME92587 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUVAL ERNEST | Agent | 3072 GRANDIFLORA DR, GREENACRES, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ROZEFORT EDELYNE | Manager | 7446 BRUNSWICK CIR, BOYNTON BEACH, FL, 33472 |
| DUVAL YANIQUE | Manager | 2247 PALM BEACH LAKES BLVD SUITE 103, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2010-11-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-23 | 2247 PALM BEACH LAKES BLVD, SUITE 108, PORT-ST-LUCIE, FL 34983 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-23 | 2247 PALM BEACH LAKES BLVD, SUITE 108, PORT-ST-LUCIE, FL 34983 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2010-11-08 |
| ANNUAL REPORT | 2010-02-23 |
| Florida Limited Liability | 2009-02-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
