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BLUE LILY PSYCHIATRY, LLC - Florida Company Profile

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Company Details

Entity Name: BLUE LILY PSYCHIATRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLUE LILY PSYCHIATRY, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 12 Oct 2021 (4 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 08 Sep 2023 (2 years ago)
Document Number: L21000445445
FEI/EIN Number 873079627

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 4214 NW 38TH DR, COCONUT CREEK, FL, 33073, US
Address: 1451 W CYPRESS CREEK RD #300, FT LAUDERDALE, FL, 33309, US
ZIP code: 33309
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CASTILLO CARLOS Authorized Representative 4214 NW 38TH DR, COCONUT CREEK, IL, 33073
MUELLER DENAYER Agent 4214 NW 38TH DR, COCONUT CREEK, FL, 33073

National Provider Identifier

NPI Number:
1588357677
Certification Date:
2024-11-22

Authorized Person:

Name:
DENAYER MUELLER
Role:
OWNER, PMHNP
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2023-09-08 BLUE LILY PSYCHIATRY, LLC -
LC STMNT CORR/NC 2021-12-06 LOTUS PSYCHIATRY GROUP, "LLC" -
CHANGE OF PRINCIPAL ADDRESS 2021-10-21 1451 W CYPRESS CREEK RD #300, FT LAUDERDALE, FL 33309 -
CHANGE OF MAILING ADDRESS 2021-10-14 1451 W CYPRESS CREEK RD #300, FT LAUDERDALE, FL 33309 -

Documents

Name Date
ANNUAL REPORT 2024-03-15
LC Name Change 2023-09-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-21
CORLCSTCNC 2021-12-06
Florida Limited Liability 2021-10-12

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Date of last update: 02 Jun 2025

Sources: Florida Department of State