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SHORELINE MENTAL HEALTH SERVICES LLC

Company Details

Entity Name: SHORELINE MENTAL HEALTH SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Feb 2021 (4 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L21000073522
FEI/EIN Number 86-2180605
Address: 6900 Tavistock Lakes Blvd, Orlando, FL, 32827, US
Mail Address: 1865 79TH STREET CSWY, 3C, NORTH BAY VILLAGE, FL, 33141
ZIP code: 32827
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598341794 2021-03-19 2022-08-02 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL, 328277593, US 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL, 328277593, US

Contacts

Phone +1 305-317-2258
Phone +1 786-382-1877

Authorized person

Name MONICA FABIANA BIANCOSPINO
Role OWNER
Phone 7863821877

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
BIANCOSPINO MONICA F Agent 1865 79TH STREET CSWY, NORTH BAY VILLAGE, FL, 33141

Authorized Member

Name Role Address
BIANCOSPINO ERIKA E Authorized Member 1865 79TH STREET CSWY. 3C, NORTH BAY VILLAGE, FL, 33141

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-30 6900 Tavistock Lakes Blvd, 400, Orlando, FL 32827 No data

Documents

Name Date
ANNUAL REPORT 2022-04-30
Florida Limited Liability 2021-02-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State