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KEY BISCAYNE PSYCHIATRY LLC

Company Details

Entity Name: KEY BISCAYNE PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jan 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 06 Feb 2017 (8 years ago)
Document Number: L17000010924
FEI/EIN Number 81-5052673
Address: 1440 Coral Ridge Dr., Coral Springs, FL, 33071, US
Mail Address: 1440 Coral Ridge Dr., Box#147, Coral Springs, FL, 33071, US
ZIP code: 33071
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164812269 2015-01-27 2022-07-21 240 CRANDON BLVD STE 230, KEY BISCAYNE, FL, 331491624, US 240 CRANDON BLVD STE 230, KEY BISCAYNE, FL, 331491624, US

Contacts

Phone +1 305-439-0085
Fax 3054396054

Authorized person

Name LIZ JOYA
Role MANAGER
Phone 3804390085

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
License Number ME102618
State FL
Is Primary Yes
Taxonomy Code 283Q00000X - Psychiatric Hospital
Is Primary No

Agent

Name Role Address
DEL SOL MARIA Agent 1440 Coral Ridge Dr., Coral Springs, FL, 33071

Manager

Name Role Address
DEL SOL MARIA Manager 1440 Coral Ridge Dr., Coral Springs, FL, 33071

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000132658 DEL SOL FUNCTIONAL PSYCHIATRY ACTIVE 2023-10-27 2028-12-31 No data 1440 CORAL RIDGE DR., BOX # 147, CORAL SPRINGS, FL, 33071

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-08 1440 Coral Ridge Dr., Box#147, Coral Springs, FL 33071 No data
CHANGE OF MAILING ADDRESS 2021-01-08 1440 Coral Ridge Dr., Box#147, Coral Springs, FL 33071 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-08 1440 Coral Ridge Dr., Box 147, Coral Springs, FL 33071 No data
LC AMENDMENT 2017-02-06 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-14
LC Amendment 2017-02-06
Florida Limited Liability 2017-01-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State