| Entity Name: | MEDICATION ASSISTED RECOVERY INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Oct 2019 (5 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 04 Nov 2019 (5 years ago) |
| Document Number: | L19000252033 |
| FEI/EIN Number | 84-3858574 |
| Address: | 2900 N MILITARY TRAIL, SUITE 241, BOCA RATON, FL 33431 |
| Mail Address: | 2900 N MILITARY TRAIL, SUITE 241, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154967891 | 2019-11-18 | 2022-04-21 | 5030 CHAMPION BLVD STE G11-535, BOCA RATON, FL, 334962473, US | 2900 N MILITARY TRL STE 241, BOCA RATON, FL, 334316347, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-235-7666 |
| Fax | 5619480989 |
| Phone | +1 561-464-4949 |
| Fax | 5614645501 |
Authorized person
| Name | DR. JEFFREY ALAN ZIPPER |
| Role | PHYSICIAN/PARTNER |
| Phone | 5612357683 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2083A0300X - Addiction Medicine (Preventive Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Rosenblatt, Melanie H | Agent | 2900 N MILITARY TRAIL, SUITE 241, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| Rosenblatt, Melanie H, M.D. | Managing Member | 2900 N MILITARY TRAIL, SUITE 241 BOCA RATON, FL 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000128703 | MAT RECOVERY | EXPIRED | 2019-12-05 | 2024-12-31 | No data | 5030 CHAMPION BLVD., G11-53, BOCA RATON, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-06-06 | 2900 N MILITARY TRAIL, SUITE 241, BOCA RATON, FL 33431 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-06-06 | Rosenblatt, Melanie H | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-06 | 2900 N MILITARY TRAIL, SUITE 241, BOCA RATON, FL 33431 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-16 | 2900 N MILITARY TRAIL, SUITE 241, BOCA RATON, FL 33431 | No data |
| LC NAME CHANGE | 2019-11-04 | MEDICATION ASSISTED RECOVERY INSTITUTE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| AMENDED ANNUAL REPORT | 2023-06-06 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-01-27 |
| LC Name Change | 2019-11-04 |
| Florida Limited Liability | 2019-10-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8670567102 | 2020-04-15 | 0455 | PPP | 2900 N MILITARY TRL SUITE 241, BOCA RATON, FL, 33431-6347 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 15 Feb 2025
Sources: Florida Department of State
