| Entity Name: | INDIGO HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Feb 2016 (9 years ago) |
| Date of dissolution: | 16 Feb 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Feb 2022 (3 years ago) |
| Document Number: | L16000027179 |
| FEI/EIN Number | 81-1402722 |
| Address: | 12929 LA ROCHELLE CIRCLE, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 12929 LA ROCHELLE CIRCLE, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720447279 | 2016-02-12 | 2016-03-24 | 12929 LA ROCHELLE CIR, PALM BEACH GARDENS, FL, 334101406, US | 1693 MAIN ST, SUITE A, SARASOTA, FL, 342365864, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-915-6395 |
Authorized person
| Name | SHEILA BRION |
| Role | CHIEF OPERATING OFFICER |
| Phone | 9419156395 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW10574 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| License Number | ME60327 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | ARNP9245432 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRION SHEILA | Agent | 12929 LA ROCHELLE CIRCLE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| BRION SHEILA | Managing Member | 12929 LA ROCHELLE CIRCLE, PALM BEACH GARDENS, FL, 33410 |
| O'CONNOR JEAN | Managing Member | 609 MISTY PINES DRIVE, VENICE, FL, 34292 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-02-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-02-16 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-29 |
| Florida Limited Liability | 2016-02-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
