| Entity Name: | OASIS BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jul 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2022 (2 years ago) |
| Document Number: | L21000326080 |
| FEI/EIN Number | 87-1772588 |
| Address: | 6900 Tavistock Lake Blvd, 400, ORLANDO, FL 32827 |
| Mail Address: | 6900 Tavistock Lake Blvd, 400, ORLANDO, FL 32827 |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508531195 | 2021-08-16 | 2021-08-16 | 10026 HATTON CIR, ORLANDO, FL, 328326174, US | 6900 TAVISTOCK LAKES BLVD STE 400-412, ORLANDO, FL, 328277589, US | |||||||||||||||
|
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| Phone | +1 321-340-3490 |
| Fax | 3213404755 |
Authorized person
| Name | LUIS EMILIO BETANCOURT |
| Role | CO-OWNER |
| Phone | 7047707027 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLAQUER, MIGUEL A | Agent | 10026 HATTON CIRC, ORLANDO, FL 32832 |
| Name | Role | Address |
|---|---|---|
| FLAQUER, MIGUEL A | Managing Member | 10026 HATTON CIRC, ORLANDO, FL 32832 |
| URIBE, PAOLA | Managing Member | 10026 HATTON CIRC, ORLANDO, FL 32832 |
| BETANCOURT, LUIS E | Managing Member | 5028 GROVES EDGE LANE, WAXHAW, NC 28173 |
| BETANCOURT, JERFFI | Managing Member | 5028 GROVES EDGE LANE, WAXHAW, NC 28173 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000098323 | SPARK WELLNESS GROUP | ACTIVE | 2021-07-28 | 2026-12-31 | No data | 10026 HATTON CIRCLE, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-10 | 6900 Tavistock Lake Blvd, 400, ORLANDO, FL 32827 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-10 | 6900 Tavistock Lake Blvd, 400, ORLANDO, FL 32827 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-10 | FLAQUER, MIGUEL A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-23 |
| ANNUAL REPORT | 2023-05-01 |
| REINSTATEMENT | 2022-10-10 |
| Florida Limited Liability | 2021-07-19 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
