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