| Entity Name: | BREAKWATER PSYCHOLOGICAL TRAUMA & WELLNESS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Jun 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000108480 |
| FEI/EIN Number | 81-2895626 |
| Address: | 1198 HILLSBORO MILE, UNIT 316, HILLSBORO BEACH, FL 33062 |
| Mail Address: | 1198 HILLSBORO MILE, UNIT 316, HILLSBORO BEACH, FL 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205286002 | 2016-06-13 | 2016-06-13 | 1198 HILLSBORO MILE, UNIT 316, HILLSBORO BEACH, FL, 330621530, US | 6971 N FEDERAL HWY, SUITE 301, BOCA RATON, FL, 334871656, US | |||||||||||||||||
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| Phone | +1 754-444-6313 |
Authorized person
| Name | BART PLASKOFF |
| Role | MANAGING MEMBER |
| Phone | 7544446313 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW9679 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PLASKOFF, BART E | Agent | 1198 HILLSBORO MILE, UNIT 316, HILLSBORO BEACH, FL 33062 |
| Name | Role | Address |
|---|---|---|
| PLASKOFF, BART E | Manager | 1198 HILLSBORO MILE, UNIT 316, HILLSBORO BEACH, FL 33062 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000059165 | EMDR OF SOUTH FLORIDA | EXPIRED | 2018-05-15 | 2023-12-31 | No data | 1198 HILLSBORO MILE, 316, HILLSBORO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-05-07 |
| ANNUAL REPORT | 2017-03-27 |
| Florida Limited Liability | 2016-06-06 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
