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MIAMI OUTPATIENT DETOX LLC

Company Details

Entity Name: MIAMI OUTPATIENT DETOX LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 28 Jan 2011 (14 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L11000012017
FEI/EIN Number 27-4686717
Address: 2828 CORAL WAY, SUITE 103, MIAMI, FL 33145
Mail Address: 2828 CORAL WAY, SUITE 103, MIAMI, FL 33145
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447545488 2011-06-17 2012-12-17 175 SW 7TH ST, SUITE 1102, MIAMI, FL, 331302992, US 175 SW 7TH ST, SUITE 1102, MIAMI, FL, 331302992, US

Contacts

Phone +1 800-990-0340

Authorized person

Name PAT IANNUCCI
Role CEO
Phone 5617899034

Taxonomy

Taxonomy Code 103TP2701X - Group Psychotherapy Psychologist
Is Primary Yes

Agent

Name Role
OUTPATIENT DETOX, LLC Agent

Manager

Name Role
OUTPATIENT DETOX, LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000023337 MOD EXPIRED 2012-03-07 2017-12-31 No data 175 SW 7TH STREET, SUITE 1102, MIAMI, FL, 33130

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-11-10 2828 CORAL WAY, SUITE 103, MIAMI, FL 33145 No data
CHANGE OF MAILING ADDRESS 2015-11-10 2828 CORAL WAY, SUITE 103, MIAMI, FL 33145 No data
REGISTERED AGENT NAME CHANGED 2015-02-25 OUTPATIENT DETOX LLC No data
REGISTERED AGENT ADDRESS CHANGED 2015-02-25 175 SW 7TH STREET, SUITE 1102, MIAMI, FL 33130 No data

Documents

Name Date
ANNUAL REPORT 2015-02-25
ANNUAL REPORT 2014-02-20
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-02-25
ADDRESS & EMAIL ADDRESS CHANGE 2011-03-23
Florida Limited Liability 2011-01-28

Date of last update: 24 Jan 2025

Sources: Florida Department of State