| Entity Name: | INTERNATIONAL RECOVERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Mar 2016 (9 years ago) |
| Document Number: | L16000049729 |
| FEI/EIN Number | 812010439 |
| Address: | 1865 WINDING RIDGE CIR SE, PALM BAY, FL, 32909, US |
| Mail Address: | 1865 WINDING RIDGE CIR SE, PALM BAY, FL, 32909, US |
| ZIP code: | 32909 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710438338 | 2016-10-19 | 2022-07-21 | 1825 NW 112TH AVE, SUITE 151, MIAMI, FL, 331721815, US | 1825 NW 112TH AVE, SUITE 151, MIAMI, FL, 331721815, US | |||||||||||||||||
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| Phone | +1 305-600-3255 |
Authorized person
| Name | KELI KORNMILLER |
| Role | CLIENT ONBOARDING SUPERVISOR |
| Phone | 5616728345 |
Taxonomy
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| License Number | 1301 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FUNDORA ALEXANDER M | Agent | 1865 Winding Ridge Circle, SE, Palm Bay, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| Fundora ALEXANDER M | Manager | 1865 Winding Ridge Circle, SE, Palm Bay, FL, 32909 |
| Fundora Alexander M | Manager | 1865 Winding Ridge Circle, SE, Palm Bay, FL, 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-01 | 1865 Winding Ridge Circle, SE, Palm Bay, FL 32909 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-12 | 1865 WINDING RIDGE CIR SE, PALM BAY, FL 32909 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-12 | 1865 WINDING RIDGE CIR SE, PALM BAY, FL 32909 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-06 |
| Florida Limited Liability | 2016-03-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
