| Entity Name: | FOUNDATIONS PEDIATRICS ASSESSMENT AND TREATMENT CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jun 2016 (9 years ago) |
| Document Number: | L16000113555 |
| FEI/EIN Number | 81-2659074 |
| Address: | 495 Prosperity Lake Drive, Saint Augustine, FL, 32092, US |
| Mail Address: | 247 Orchard Lane, St Augustine, FL, 32095, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245086040 | 2024-04-24 | 2024-04-24 | 247 ORCHARD LN, SAINT AUGUSTINE, FL, 320950031, US | 245 LAND GRANT STREET, SUITE 3, SAINT AUGUSTINE, FL, 32092, US | |||||||||||||||
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| Phone | +1 954-895-3006 |
| Phone | +1 904-370-3420 |
Authorized person
| Name | JILL DRIEST |
| Role | OWNER |
| Phone | 9043703420 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DRIEST JILL | Agent | 247 Orchard Lane, St Augustine, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| DRIEST JILL | Authorized Member | 247 Orchard Lane, St Augustine, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-12 | 495 Prosperity Lake Drive, Suite 101, Saint Augustine, FL 32092 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-12 | 247 Orchard Lane, St Augustine, FL 32095 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-23 | 495 Prosperity Lake Drive, Suite 101, Saint Augustine, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-02-23 |
| Florida Limited Liability | 2016-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
