| Entity Name: | ADDICTION RECOVERY MEDICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Aug 2015 (9 years ago) |
| Date of dissolution: | 10 Aug 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Aug 2018 (6 years ago) |
| Document Number: | L15000132263 |
| FEI/EIN Number | 474944275 |
| Address: | 230 SE 23RD AVE., BOYNTON BEACH, FL, 33435, US |
| Mail Address: | 230 SE 23RD AVE., BOYNTON BEACH, FL, 33435, US |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336516798 | 2015-09-01 | 2022-07-21 | 222 YAMATO RD, SUITE 106-225, BOCA RATON, FL, 334314704, US | 230 SE 23RD AVE, BOYNTON BEACH, FL, 334357620, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 561-303-2912 |
| Fax | 5613032951 |
Authorized person
| Name | DR. MAX LOUIS CITRIN |
| Role | PHYSICIAN |
| Phone | 56130322912 |
Taxonomy
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| License Number | OS12975 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 5001 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | AV3 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CITRIN MAX | Agent | 230 SE 23RD AVE., BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| CITRIN MAX | Authorized Member | 230 SE 23RD AVE., BOYNTON BEACH, FL, 33435 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000090262 | ARMS OF FLORIDA | EXPIRED | 2015-09-01 | 2020-12-31 | No data | 2061 NW BOCA RATON BLVD, SUITE 106, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-08-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-13 | 230 SE 23RD AVE., BOYNTON BEACH, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-13 | 230 SE 23RD AVE., BOYNTON BEACH, FL 33435 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-13 | 230 SE 23RD AVE., BOYNTON BEACH, FL 33435 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-04-27 |
| Florida Limited Liability | 2015-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
