| Entity Name: | SURRENDERING MINDS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Mar 2018 (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: | L18000076082 |
| Address: | 11627 HICKORY OAK DR, JACKSONVILLE, FL 32218 |
| Mail Address: | PO BOX 12872, JACKSONVILLE, FL 32209 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144717497 | 2018-04-21 | 2018-04-21 | 11627 HICKORY OAK DR, JACKSONVILLE, FL, 322189078, US | 11627 HICKORY OAK DR, JACKSONVILLE, FL, 322189078, US | |||||||||||||||||||
|
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| Phone | +1 904-316-4420 |
Authorized person
| Name | LAUREN ANTHONY |
| Role | MGR |
| Phone | 9043164420 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1245622323 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAUREN, ANTHONY A | Agent | 11627 HICKORY OAK DR, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| ANTHONY, LAUREN A | Manager | PO BOX 12872, JACKSONVILLE, FL 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-03-23 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
