| Entity Name: | BANYAN2, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Apr 2012 (13 years ago) |
| Date of dissolution: | 18 Nov 2015 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Nov 2015 (9 years ago) |
| Document Number: | L12000053414 |
| FEI/EIN Number | 45-5090319 |
| Address: | 6175 NW 153RD STREET, STE 332, MIAMI LAKES, FL 33014 |
| Mail Address: | 6619 S DIXIE HWY, STE 229, MIAMI, FL 33143 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629316070 | 2013-01-18 | 2013-01-18 | 6619 S DIXIE HWY, SUITE 229, MIAMI, FL, 331437919, US | 6175 NW 153RD ST, SUITE 332, MIAMI LAKES, FL, 330142435, US | |||||||||||||||||
|
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| Phone | +1 305-663-5696 |
Authorized person
| Name | DR. JUSTIN NEWMAN |
| Role | MEDICAL DIRECTOR |
| Phone | 3056635696 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NEWMAN, JUSTIN | Agent | 6619 S DIXIE HWY, STE 229, MIAMI, FL 33143 |
| Name | Role | Address |
|---|---|---|
| SKINNER, CHIERNO | Managing Member | 6619 S DIXIE HWY, STE 229 MIAMI, FL 33143 |
| NEWMAN, JUSTIN | Managing Member | 6619 S DIXIE HWY, STE 229 MIAMI, FL 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000077330 | THE BANYAN HOLISTIC | EXPIRED | 2014-07-25 | 2019-12-31 | No data | 6619 S DIXIE HWY, STE 229, MIAMI, FL, 33143 |
| G12000040591 | THE BANYAN | EXPIRED | 2012-04-30 | 2017-12-31 | No data | 6619 S DIXIE HWY, STE 229, MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-11-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-07 | 6175 NW 153RD STREET, STE 332, MIAMI LAKES, FL 33014 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-07 | NEWMAN, JUSTIN | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-11-18 |
| ANNUAL REPORT | 2015-03-07 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-02-02 |
| Florida Limited Liability | 2012-04-19 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
