| Entity Name: | LEGACY COMMUNITY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Feb 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Mar 2021 (4 years ago) |
| Document Number: | L21000066915 |
| FEI/EIN Number | 86-2215771 |
| Address: | 10211 W Sample Road, Suite 212 & 214, Coral Springs, FL 33065 |
| Mail Address: | 10211 W Sample Road, Suite 212 & 214, Coral Springs, FL 33065 |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942895792 | 2021-03-03 | 2023-12-04 | 10211 W SAMPLE RD STE 212214, CORAL SPRINGS, FL, 330653972, US | 10211 W SAMPLE RD STE 212214, CORAL SPRINGS, FL, 330653972, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-603-7177 |
| Fax | 7863647543 |
Authorized person
| Name | LISSETTE GARZON |
| Role | PRESIDENT |
| Phone | 9546001728 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GARZON, LISSETTE | Agent | 10211 W Sample Road, 212 & 214, Coral Springs, FL 33065 |
| Name | Role | Address |
|---|---|---|
| GARZON, LISSETTE | Authorized Member | 10297 NW 46TH ST, SUNRISE, FL 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-02 | 10211 W Sample Road, Suite 212 & 214, Coral Springs, FL 33065 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-02 | 10211 W Sample Road, Suite 212 & 214, Coral Springs, FL 33065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-02 | 10211 W Sample Road, 212 & 214, Coral Springs, FL 33065 | No data |
| LC AMENDMENT | 2021-03-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-03 | GARZON, LISSETTE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| AMENDED ANNUAL REPORT | 2023-06-02 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-20 |
| LC Amendment | 2021-03-03 |
| Florida Limited Liability | 2021-02-08 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
