| Entity Name: | DELRAY BEACH INTENSIVE OUTPATIENT PROGRAM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Dec 2012 (12 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L12000153238 |
| FEI/EIN Number | 46-0625282 |
| Mail Address: | 7160 BRICKYARD CIRCLE, LAKE WORTH, FL, 33467 |
| Address: | 1200 NW 17th AVE, SUITE 8, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821343146 | 2012-07-24 | 2012-07-24 | 301 W ATLANTIC AVE, SUITE 0-5, DELRAY BEACH, FL, 334443687, US | 301 W ATLANTIC AVE, SUITE 0-5, DELRAY BEACH, FL, 334443687, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-894-6010 |
| Fax | 3056470680 |
Authorized person
| Name | ALLEN SERGIO MCCORMICK |
| Role | PRESIDENT |
| Phone | 5618946010 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW3546 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCCORMICK ALLEN S | Agent | 1200 NW 17th AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| HARVEY LORI L | DMGR | 1200 NW 17th AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| MCCORMICK ALLEN S | Chief Executive Officer | 1200 NW 17th AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| CARUCCI LORRAINE | Director | 1200 NW 17th AVE, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-05-04 | 1200 NW 17th AVE, SUITE 8, DELRAY BEACH, FL 33445 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-05-04 | 1200 NW 17th AVE, SUITE 8, DELRAY BEACH, FL 33445 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-05-04 |
| AMENDED ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2014-04-18 |
| Florida Limited Liability | 2012-12-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
