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THRIVE BEHAVIORAL SCIENCES - ORLANDO, LLC

Company Details

Entity Name: THRIVE BEHAVIORAL SCIENCES - ORLANDO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Feb 2019 (6 years ago)
Document Number: L19000049771
FEI/EIN Number 83-3750404
Mail Address: 5510 N Hesperides St, Tampa, FL, 33614, US
Address: 4700 Millenia Blvd, Ste 500, ORLANDO, FL, 32839-6019, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063979730 2019-02-28 2024-08-16 5510 N HESPERIDES ST, TAMPA, FL, 336145414, US 4700 MILLENIA BLVD STE 500, ORLANDO, FL, 328396019, US

Contacts

Phone +1 813-277-4571
Phone +1 813-467-6111

Authorized person

Name JOLENE DE LA GARDELLE
Role VP OPERATIONS
Phone 8132774571

Taxonomy

Taxonomy Code 2084P0805X - Geriatric Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
Geske Timothy Agent 5510 N HESPERIDES ST, TAMPA, FL, 33614

Manager

Name Role Address
Lomonico Stephen Manager 5510 N Hesperides St, Tampa, FL, 33614
Geske Timothy Manager 5510 N Hesperides St, Tampa, FL, 33614

Vice President

Name Role Address
de la Gardelle Jolene Vice President 5510 N Hesperides St, Tampa, FL, 33614

Officer

Name Role Address
de la Gardelle Jolene Officer 5510 N Hesperides St, Tampa, FL, 33614

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-20 4700 Millenia Blvd, Ste 500, ORLANDO, FL 32839-6019 No data
REGISTERED AGENT NAME CHANGED 2024-02-20 Geske, Timothy No data
CHANGE OF MAILING ADDRESS 2022-04-22 4700 Millenia Blvd, Ste 500, ORLANDO, FL 32839-6019 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-22 5510 N HESPERIDES ST, TAMPA, FL 33614 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-04-28
AMENDED ANNUAL REPORT 2022-08-22
AMENDED ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-19
Florida Limited Liability 2019-02-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State