Entity Name: | BEST LIFE COUNSELING DIAGNOSTICS PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 05 Mar 2014 (11 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: | L14000037145 |
FEI/EIN Number | 46-5020253 |
Address: | 1001 W. INDIANTOWN RD., JUPITER, FL, 33458, US |
Mail Address: | 1001 W. INDIANTOWN RD., JUPITER, FL, 33458, US |
ZIP code: | 33458 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427461995 | 2014-06-03 | 2014-06-03 | 1001 W INDIANTOWN RD, SUITE 107, JUPITER, FL, 334586830, US | 1001 W INDIANTOWN RD, SUITE 107, JUPITER, FL, 334586830, US | |||||||||||||||||||
|
Phone | +1 561-748-2889 |
Fax | 5617481523 |
Phone | +1 561-745-8889 |
Fax | 5613540189 |
Authorized person
Name | JANE LAPIS |
Role | BILLING MANAGER |
Phone | 5617482889 |
Taxonomy
Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Picken Gregory C | Agent | 701 U.S. Highway One, N. Palm Beach, FL, 33408 |
Name | Role | Address |
---|---|---|
BENAIM JENNIFER | Authorized Member | 1001 W. INDIANTOWN RD., JUPITER, FL, 33458 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-07-26 | Picken, Gregory C | No data |
REGISTERED AGENT ADDRESS CHANGED | 2016-07-26 | 701 U.S. Highway One, Suite 402, N. Palm Beach, FL 33408 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-07-26 |
ANNUAL REPORT | 2015-03-30 |
Florida Limited Liability | 2014-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State