| Entity Name: | BOBES PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Sep 2017 (7 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: | L17000192214 |
| FEI/EIN Number | 82-2832744 |
| Address: | 240 CRANDON BLVD, SUITE 230, KEY BISCAYNE, FL 33149 |
| Mail Address: | 1121 Crandon Blvd, Apt F901, Key Biscayne, FL 33149 |
| ZIP code: | 33149 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417467556 | 2017-10-03 | 2017-10-03 | 1440 CORAL RIDGE DR, CORAL SPRINGS, FL, 330715433, US | 240 CRANDON BLVD, KEY BISCAYNE, FL, 331491543, US | |||||||||||||||||||||||||
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| Phone | +1 305-439-0085 |
| Fax | 2392781159 |
Authorized person
| Name | IGNACIO BOBES |
| Role | OWNER |
| Phone | 3055190107 |
Taxonomy
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| License Number | ME87086 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264164600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOBES, IGNACIO | Agent | 1121 CRANDON BLVD, APT F901, KEY BISCAYNE, FL 33149 |
| Name | Role | Address |
|---|---|---|
| BOBES, IGNACIO | Manager | 1121 CRANDON BLVD, APT F901, KEY BISCAYNE, FL 33149-2783 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-12-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-03 | 240 CRANDON BLVD, SUITE 230, KEY BISCAYNE, FL 33149 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-03 | BOBES, IGNACIO | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-12-03 |
| Florida Limited Liability | 2017-09-15 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
