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ADDICTION AND INTERVENTION PROFESSIONALS LLC

Company Details

Entity Name: ADDICTION AND INTERVENTION PROFESSIONALS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 27 Mar 2009 (16 years ago)
Date of dissolution: 21 May 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 May 2019 (6 years ago)
Document Number: L09000029968
FEI/EIN Number 26-4625636
Address: 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081
Mail Address: 712 W. DEVONHURST LN., PONTE VEDRA, FL 32081
ZIP code: 32081
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023326014 2010-09-23 2010-09-23 352 PASEO REYES DR, ST AUGUSTINE, FL, 320958464, US 352 PASEO REYES DR, ST AUGUSTINE, FL, 320958464, US

Contacts

Phone +1 904-808-8373
Fax 9048088390

Authorized person

Name BRIAN WILLIAM JACKSON
Role EXECUTIVE DIRECTOR
Phone 9048088373

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
State FL
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

Manager

Name Role Address
JACKSON, BRIAN Manager 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081
JACKSON, JOYCE Manager 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081

Secretary

Name Role Address
JACKSON, JOYCE Secretary 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081

Treasurer

Name Role Address
JACKSON, BRIAN Treasurer 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-05-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-14 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081 No data
CHANGE OF MAILING ADDRESS 2010-10-01 712 WEST DEVONHURST LANE, PONTE VEDRA, FL 32081 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-05-21
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-03-26
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-01-14
ANNUAL REPORT 2011-04-19
ADDRESS CHANGE 2010-10-01

Date of last update: 25 Jan 2025

Sources: Florida Department of State