| Entity Name: | EVOKE COCONUT CREEK LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Jul 2021 (4 years ago) |
| Document Number: | L21000340242 |
| FEI/EIN Number | 87-1892694 |
| Address: | 3920 NW 43RD ST, COCONUT CREEK, FL 33073 |
| Mail Address: | 3600 RED ROAD, SUITE 606A, MIRAMAR, FL 33025 |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073381810 | 2023-12-12 | 2023-12-12 | 3920 NW 43RD ST, COCONUT CREEK, FL, 330733462, US | 7618 MARGATE BLVD, MARGATE, FL, 330633352, US | |||||||||||||||||||
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| Fax | 9549906305 |
| Phone | +1 954-993-2040 |
Authorized person
| Name | SHERITA CHANG |
| Role | CRO |
| Phone | 9549932040 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCKINNELL, NEIL J | Agent | 3600 RED ROAD, SUITE 601A, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| MCKINNELL, NEIL J | Manager | 3600 RED ROAD, SUITE 601A, MIRAMAR, FL 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000000740 | EVOKE WELLNESS AT COCONUT CREEK | ACTIVE | 2024-01-03 | 2029-12-31 | No data | 3600 RED ROAD, SUITE 601A, MIRAMAR, FL, 33025 |
| G22000159594 | EVOKE WELLNESS COCONUT CREEK | ACTIVE | 2022-12-27 | 2027-12-31 | No data | 3600 RED ROAD, SUITE 605, MIRAMAR, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 3920 NW 43RD ST, COCONUT CREEK, FL 33073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-10 | 3920 NW 43RD ST, COCONUT CREEK, FL 33073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-08 |
| Florida Limited Liability | 2021-07-27 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
