| Entity Name: | MO BEHAVIOR THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2021 (3 years ago) |
| Document Number: | L21000436713 |
| FEI/EIN Number | 87-2980740 |
| Address: | 130 South Indian River Drive, Fort Pierce, FL, 34950, US |
| Mail Address: | 130 South Indian River Drive, Fort Pierce, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457196420 | 2024-07-01 | 2024-07-01 | 130 S INDIAN RIVER DR STE 237, FORT PIERCE, FL, 349504353, US | 130 S INDIAN RIVER DR STE 237, FORT PIERCE, FL, 349504353, US | |||||||||||||
|
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| Phone | +1 305-795-0600 |
Authorized person
| Name | MAURICIO GARCIA LOSADA |
| Role | MGR |
| Phone | 3057950600 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARCIA MAURICIO | Agent | 11620 SW 98TH STREET, MIAMI,, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| GARCIA MAURICIO | Manager | 11620 SW 98TH STREET, N/A, MIAMI,, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-10 | 130 South Indian River Drive, Suite 237, Fort Pierce, FL 34950 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-10 | 130 South Indian River Drive, Suite 237, Fort Pierce, FL 34950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-04-20 |
| Florida Limited Liability | 2021-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
