| Entity Name: | GOAL PSYCHIATRIC ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GOAL PSYCHIATRIC ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Jul 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L11000081523 |
| FEI/EIN Number |
452915415
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1040 WESTON ROAD, STE 210, WESTON, FL, 33326 |
| Mail Address: | 1040 WESTON ROAD, STE 210, WESTON, FL, 33326 |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427338680 | 2011-08-19 | 2014-01-13 | 1040 WESTON RD, SUITE 210, WESTON, FL, 333261912, US | 1040 WESTON RD, SUITE 210, WESTON, FL, 333261912, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-766-4702 |
| Fax | 9547664907 |
Authorized person
| Name | DR. EDWIN A GOMEZ |
| Role | OWNER |
| Phone | 9547664702 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME97741 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME97741 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001441900 |
| State | FL |
| Issuer | GROUP MEDICARE PTAN |
| Number | GM814A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOMEZ EDWIN A | Managing Member | 1040 WESTON ROAD, WESTON, FL, 33326 |
| GOMEZ EDWIN A | Agent | 1040 WESTON ROAD, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CONVERSION | 2011-07-14 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P11000022500. CONVERSION NUMBER 900000115129 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-04-27 |
| Florida Limited Liability | 2011-07-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
