| Entity Name: | ST JOHN'S RECOVERY PLACE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Sep 2017 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Dec 2024 (2 months ago) |
| Document Number: | L17000198433 |
| FEI/EIN Number | 82-3656133 |
| Mail Address: | 5790 POWERLINE ROAD, FORT LAUDERDALE, FL 33309 |
| Address: | 1125 N SUMMIT STREET, CRESCENT CITY, FL 32112 |
| ZIP code: | 32112 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184223406 | 2020-10-19 | 2020-10-19 | 1125 N SUMMIT ST, CRESCENT CITY, FL, 321121721, US | 1045 WILLIAMSBURG RD, DELAND, FL, 327201449, US | |||||||||||||||
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| Phone | +1 954-945-2984 |
| Fax | 9049901201 |
Authorized person
| Name | SHANNON SMITH |
| Role | COO |
| Phone | 9549452984 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUHADANA, SHIMON | Agent | 5790 POWERLINE RD, FORT LAUDERDALE, FL 33309 |
| Name | Role | Address |
|---|---|---|
| BUHADANA, SHIMON | Managing Member | 5790 POWERLINE RD, FORT LAUDERDALE, FL 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-12-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-07 | BUHADANA, SHIMON | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-07 | 5790 POWERLINE RD, FORT LAUDERDALE, FL 33309 | No data |
| LC AMENDMENT | 2017-12-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-12-15 | 1125 N SUMMIT STREET, CRESCENT CITY, FL 32112 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| LC Amendment | 2024-12-04 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-03-07 |
| LC Amendment | 2017-12-15 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
