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INTREPID DETOX RESIDENTIAL LLC

Company Details

Entity Name: INTREPID DETOX RESIDENTIAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Aug 2019 (5 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 18 Jun 2020 (5 years ago)
Document Number: L19000208842
FEI/EIN Number 842812445
Mail Address: 1926 10TH AVENUE N, SUITE 420, LAKE WORTH, FL, 33461, US
Address: 1120 48TH STREET, MANGONIA PARK, FL, 33407, US
ZIP code: 33407
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275176497 2019-10-21 2020-02-11 1120 48TH ST, MANGONIA PARK, FL, 334072302, US 1120 48TH ST, MANGONIA PARK, FL, 334072302, US

Contacts

Phone +1 866-871-5111

Authorized person

Name JOHN NASH
Role OWNER
Phone 8668715111

Taxonomy

Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary Yes

Agent

Name Role Address
Apex Wellness Group Agent 1926 10TH AVENUE N, LAKE WORTH, FL, 33461

Authorized Member

Name Role
APEX TREATMENT HOLDINGS LLC Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000058613 INTREPID RECOVERY CENTER ACTIVE 2023-05-09 2028-12-31 No data 1926 10TH AVE N, SUITE 420, LAKE WORTH, FL, 33461

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-01-27 Apex Wellness Group No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-27 1926 10TH AVENUE N, SUITE 420, LAKE WORTH, FL 33461 No data
CHANGE OF MAILING ADDRESS 2020-10-27 1120 48TH STREET, MANGONIA PARK, FL 33407 No data
LC STMNT OF RA/RO CHG 2020-06-18 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-08-19
CORLCRACHG 2020-06-18
Florida Limited Liability 2019-08-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State