| Entity Name: | DAVENPORT BEHAVIORAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DAVENPORT BEHAVIORAL CENTER LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Jul 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L21000313064 |
| FEI/EIN Number |
87-1687977
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8390 Championsgate Boulevard, Suite 108, Four Corners, FL, 33896, US |
| Mail Address: | 109 AMBERSWEET WAY, PMB 641, DAVENPORT, FL, 33897 |
| ZIP code: | 33896 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518634054 | 2021-08-24 | 2021-10-21 | 109 AMBERSWEET WAY, DAVENPORT, FL, 338978418, US | 19 N 6TH STREET, 19A, HAINES CITY, FL, 33844, US | |||||||||||||
|
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| Phone | +1 321-663-6375 |
Authorized person
| Name | MS. FRAINELYS CRUZ |
| Role | PROVIDER |
| Phone | 3212784084 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Cruz Montanez Frainelys | Clin | 1080 Blackwolf Run Road, Championsgate, FL, 33896 |
| Cruz Montanez Frainelys | Agent | 1080 Blackworld Run Road, Championsgate, FL, 33896 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 8390 Championsgate Boulevard, Suite 108, Four Corners, FL 33896 | - |
| REGISTERED AGENT NAME CHANGED | 2022-02-10 | Cruz Montanez, Frainelys | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-10 | 1080 Blackworld Run Road, Championsgate, FL 33896 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-02-10 |
| Florida Limited Liability | 2021-07-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
