| Entity Name: | DYNAMIC OUTPATIENT THERAPEUTIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Sep 2010 (14 years ago) |
| Document Number: | L10000093510 |
| FEI/EIN Number | 27-3403488 |
| Address: | 6155 N. OCEAN BLVD, OCEAN RIDGE, FL 33435 |
| Mail Address: | 6155 N Ocean Blvd, Ocean Ridge, FL 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073989273 | 2015-08-11 | 2015-08-11 | 2312 WILTON DR, WILTON MANORS, FL, 333051249, US | 2312 WILTON DR, WILTON MANORS, FL, 333051249, US | |||||||||||||||||||
|
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| Phone | +1 954-745-7917 |
| Fax | 9547457918 |
Authorized person
| Name | SHAYNA RAYMAN |
| Role | MANAGING MEMBER |
| Phone | 9547457917 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 11511 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EXECUTIVE AFFILIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| RAYMAN, SHAYNA M | Managing Member | 6155 N Ocean Blvd, Ocean Ridge, FL 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-20 | 6155 N. OCEAN BLVD, OCEAN RIDGE, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-14 | 6155 N. OCEAN BLVD, OCEAN RIDGE, FL 33435 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-14 | Executive Affiliates, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-14 | 6155 N Ocean Blvd, Ocean Ridge, FL 33435 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-19 |
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-09 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
