| Entity Name: | COCONUT GROVE RECOVERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COCONUT GROVE RECOVERY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Sep 2015 (10 years ago) |
| Date of dissolution: | 11 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Mar 2020 (5 years ago) |
| Document Number: | L15000159485 |
| FEI/EIN Number |
47-5092288
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5001 Hollywood Blvd., Hollywood, FL, 33021, US |
| Mail Address: | 5001 Hollywood Blvd., Hollywood, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912456435 | 2016-09-26 | 2016-09-26 | 15291 NW 60TH AVE, STE 200, MIAMI LAKES, FL, 330142458, US | 15291 NW 60TH AVE STE 200, STE 200, MIAMI LAKES, FL, 330142460, US | |||||||||||||||||||||||||
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| Phone | +1 855-366-5224 |
| Fax | 8557684701 |
Authorized person
| Name | CATHY PICILLO |
| Role | BILLING COLLECTION MANAGER |
| Phone | 9549937165 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 10D2106134 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CMS CLIA LICENSE |
| Number | 10D2106134 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIRALDEZ BRIAN | Manager | 5001 Hollywood Blvd., Hollywood, FL, 33021 |
| WARD CHRISTOPHER | Manager | 5001 Hollywood Blvd., Hollywood, FL, 33021 |
| Slatus Shlomo L | Manager | 5001 Hollywood Blvd., Hollywood, FL, 33021 |
| Bota Marissa | Exec | 5001 Hollywood Blvd., Hollywood, FL, 33021 |
| Barnhart, Esq. Valerie | Agent | 12555 Orange Drive, Second Floor, Davie, FL, 33330 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000072611 | MORE LIFE RECOVERY CENTER | EXPIRED | 2017-07-05 | 2022-12-31 | - | 15291 NW 60TH AVE, STE 200, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-11 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 12555 Orange Drive, Second Floor, Davie, FL 33330 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 5001 Hollywood Blvd., Hollywood, FL 33021 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-06 | 5001 Hollywood Blvd., Hollywood, FL 33021 | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-06 | Barnhart, Esq., Valerie | - |
| LC AMENDMENT | 2018-11-19 | - | - |
| REINSTATEMENT | 2016-10-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| LC AMENDMENT | 2016-05-03 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-11 |
| AMENDED ANNUAL REPORT | 2019-11-08 |
| AMENDED ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2019-02-06 |
| LC Amendment | 2018-11-19 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-01-13 |
| REINSTATEMENT | 2016-10-14 |
| LC Amendment | 2016-05-03 |
| Florida Limited Liability | 2015-09-18 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
