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THE FOURMULA CENTER, LLC

Company Details

Entity Name: THE FOURMULA CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 26 Jan 2016 (9 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L16000017809
FEI/EIN Number 81-1763107
Address: 5499 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487, US
Mail Address: 5499 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548621030 2016-03-11 2017-08-18 5499 N FEDERAL HWY, BOCA RATON, FL, 334874993, US 5499 N FEDERAL HWY, BOCA RATON, FL, 334874993, US

Contacts

Phone +1 561-617-1925
Fax 5616171928

Authorized person

Name MISS ROBIN LEIGH GUTERMAN-PERRY
Role OWNER/MANAGER
Phone 5616171925

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number SW10458
State FL
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
License Number SW10458
State FL
Is Primary No
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
License Number SW10458
State FL
Is Primary Yes

Agent

Name Role Address
GUTERMAN ROBIN Agent 5499 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487

Manager

Name Role Address
GUTERMAN ROBIN Manager 5499 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000090636 THE FOURMULA EXPIRED 2016-08-22 2021-12-31 No data 5499 NORTH FEDERAL HIGHWAY, SUITE G, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-26 5499 NORTH FEDERAL HIGHWAY, SUITE L, BOCA RATON, FL 33487 No data
CHANGE OF MAILING ADDRESS 2019-02-26 5499 NORTH FEDERAL HIGHWAY, SUITE L, BOCA RATON, FL 33487 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-26 5499 NORTH FEDERAL HIGHWAY, SUITE L, BOCA RATON, FL 33487 No data
LC STMNT CORR 2016-02-01 No data No data

Documents

Name Date
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
CORLCSTCOR 2016-02-01
Florida Limited Liability 2016-01-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State