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BRAINSTIM, LLC

Company Details

Entity Name: BRAINSTIM, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 28 Jun 2010 (15 years ago)
Date of dissolution: 11 Sep 2015 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 11 Sep 2015 (9 years ago)
Document Number: L10000068911
FEI/EIN Number 27-3025344
Address: 301 WEST ATLANTIC AVENUE, SUITE O-6, DELRAY BEACH, FL 33444 UN
Mail Address: 1015 W Indiantown Rd, SUITE 202, Jupiter, FL 33458
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952602633 2010-11-11 2010-11-11 301 WEST ATLANTIC AVENUE, SUITE 0-6, DELRAY BEACH, FL, 33444, US 301 WEST ATLANTIC AVENUE, SUITE 0-6, DELRAY BEACH, FL, 33444, US

Contacts

Phone +1 877-750-7846
Fax 8777507846

Authorized person

Name DARRYL EVAN APPLETON
Role OFFICER
Phone 8777507846

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number ME87656
State FL
Is Primary Yes

Agent

Name Role Address
FRIEDMAN, ROBERT J Agent 7408 LAKE WORTH RD, STE 100, LAKE WORTH, FL 33467

Managing Member

Name Role Address
APPLETON, DARRYL MD Managing Member 301 W ATLANTIC AVE - STE O6, DELRAY BEACH, FL 33444
FRIEDMAN, ROBERT J, MD Managing Member 7408 LAKE WORTH RD - STE 100, LAKE WORTH, FL 33467

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000068078 BRAIN STIMULATION CENTER EXPIRED 2010-07-23 2015-12-31 No data 1015 W. INDIANTOWN RD, #202, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-09-11 No data No data
CHANGE OF MAILING ADDRESS 2014-03-18 301 WEST ATLANTIC AVENUE, SUITE O-6, DELRAY BEACH, FL 33444 UN No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-09 301 WEST ATLANTIC AVENUE, SUITE O-6, DELRAY BEACH, FL 33444 UN No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2015-09-11
ANNUAL REPORT 2015-02-21
ANNUAL REPORT 2014-03-18
ANNUAL REPORT 2013-03-21
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-04-21
Florida Limited Liability 2010-06-28

Date of last update: 25 Jan 2025

Sources: Florida Department of State