| Entity Name: | OUTREACH TREATMENT CENTER OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2015 (10 years ago) |
| Date of dissolution: | 26 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Apr 2017 (8 years ago) |
| Document Number: | L15000014126 |
| FEI/EIN Number | 47-4162086 |
| Address: | 9290 Sunset Drive, MIAMI, FL, 33173, US |
| Mail Address: | 9290 Sunset Drive, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306218623 | 2015-10-26 | 2016-11-15 | 9290 SUNSET DR., SUITE # 106, BLDG. #2, MIAMI, FL, 33173, US | 9290 SUNSET DR., SUITE # 106, BLDG. #2, MIAMI, FL, 33173, US | |||||||||||||||||||||||
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| Phone | +1 305-596-4045 |
| Fax | 3055964047 |
Authorized person
| Name | MARISSA SANTANA |
| Role | MANAGER/CEO |
| Phone | 3055964045 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MT 3043 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| MARY HOLDINGS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MARY HOLDINGS, LLC | Manager | No data |
| GEMKISREY, LLC | Manager | 9801 SW 74TH STREET, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-11 | 9290 Sunset Drive, Suite 106, Bldg 2, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-11 | 9290 Sunset Drive, Suite 106, Bldg 2, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-11 | MARY HOLDINGS, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-11 | 9290 Sunset Drive, Suite 106, Bldg 2, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-11 |
| Florida Limited Liability | 2015-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
