| Entity Name: | ISABEL TAYLOR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Feb 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L15000019271 |
| FEI/EIN Number | 47-3039889 |
| Mail Address: | 3600 S. State Road 7, Miramar, FL, 33023, US |
| Address: | 2790 River Run Circle East, Miramar, FL, 33025, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750945689 | 2019-04-25 | 2019-07-25 | 2790 RIVER RUN CIR E, MIRAMAR, FL, 330254429, US | 1701 W FLAGLER ST STE 310, MIAMI, FL, 331352099, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-575-3801 |
| Fax | 9543429163 |
| Phone | +1 786-467-7006 |
| Fax | 7869990971 |
Authorized person
| Name | MRS. TABITHA SHERELLE TAYLOR-BOONE |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 7865753801 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022925900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAYLOR-BOONE TABITHA S | Agent | 2790 RIVER RUN CIRCLE E, MIRAMAR, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| TAYLOR-BOONE TABITHA S | Manager | 2790 RIVER RUN CIRCLE E, MIRAMAR, FL, 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000048446 | GAEA | EXPIRED | 2019-04-18 | 2024-12-31 | No data | 2790 RIVER RUN CIRCLE EAST, MIRAMAR, FL, 33025 |
| G19000048442 | SUNNYSIDE LOVE EXTRAVAGANT GROUP | EXPIRED | 2019-04-18 | 2024-12-31 | No data | 2790 RIVER RUN CIRCLE EAST, MIRAMAR, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC DISSOCIATION MEM | 2021-12-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-15 | 2790 River Run Circle East, Miramar, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-15 | 2790 River Run Circle East, Miramar, FL 33025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-12 | 2790 RIVER RUN CIRCLE E, MIRAMAR, FL 33025 | No data |
| REINSTATEMENT | 2019-04-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-12 | TAYLOR-BOONE, TABITHA S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| CORLCDSMEM | 2021-12-21 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-06-05 |
| REINSTATEMENT | 2019-04-12 |
| Florida Limited Liability | 2015-02-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
