| Entity Name: | BLOSSOM BEHAVIOR CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2020 (5 years ago) |
| Document Number: | L20000015881 |
| FEI/EIN Number | 84-4377210 |
| Address: | 13706 SW 56 STREET, MIAMI, FL, 33175, US |
| Mail Address: | 13706 SW 56 STREET, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174153449 | 2020-01-24 | 2022-11-01 | 13706 SW 56TH ST STE 105-106, MIAMI, FL, 331756036, US | 13706 SW 56TH ST STE 105-106, MIAMI, FL, 331756036, US | |||||||||||||||||||
|
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| Phone | +1 786-688-2630 |
| Fax | 7865138495 |
Authorized person
| Name | LISDEYBYS BATLLE LORENTE |
| Role | PRESIDENT |
| Phone | 7865234289 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BATLLE LORENTE LISDEYBYS | Agent | 13706 SW 56 STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| LISDEYBYS BATTLE LORENTE | Manager | 13706 SW 56 STREET, MIAMI, FL, 33175 |
| IVAN B PEREZ RODRIGUEZ | Manager | 13706 SW 56 STREET, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 13706 SW 56 STREET, SUITE 105-106, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-28 | 13706 SW 56 STREET, SUITE 105-106, MIAMI, FL 33175 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-28 | BATLLE LORENTE, LISDEYBYS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-28 | 13706 SW 56 STREET, SUITE 105-106, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-01-28 |
| Florida Limited Liability | 2020-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
