| Entity Name: | TAMARAC DETOX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Nov 2020 (4 years ago) |
| Document Number: | L20000350324 |
| FEI/EIN Number | 85-3930529 |
| Address: | 8290 N UNIVERSITY DRIVE, TAMARAC, FL, 33321, US |
| Mail Address: | 1701 GREEN RD., SUITE C, DEERFIELD BEACH, FL, 33064, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538737291 | 2021-06-17 | 2021-09-09 | 1701 GREEN RD STE C, DEERFIELD BEACH, FL, 330641074, US | 8290 N UNIVERSITY DR, TAMARAC, FL, 333211710, US | |||||||||||||||||||||
|
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| Phone | +1 855-460-0139 |
Authorized person
| Name | ALEXANDRA KORORTKEVICH |
| Role | EXEC |
| Phone | 8554600139 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOROTKEVICH ALEXANDRA | Agent | 1701 GREEN RD., DEERFIELD BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| KOROTKEVICH ALEXANDRA | Manager | 1701 GREEN RD., DEERFIELD BEACH, FL, 33064 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000095956 | WE LEVEL UP FL | ACTIVE | 2021-07-22 | 2026-12-31 | No data | 1701 GREEN RD., STE C, DEERFIELD BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 1701 GREEN RD., STE C, DEERFIELD BEACH, FL 33064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| Florida Limited Liability | 2020-11-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
