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LANTANA DETOX CENTER LLC

Company Details

Entity Name: LANTANA DETOX CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 28 Dec 2021 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L22000006185
FEI/EIN Number 87-4153989
Address: 828 MINNESOTA ST, LANTANA, FL 33465
Mail Address: 2636 OLD OKEECHOBEE RD, WEST PALM BEACH, FL 33409 UN
ZIP code: 33465
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083374300 2021-12-28 2021-12-28 2636 OLD OKEECHOBEE RD, WEST PALM BEACH, FL, 334094129, US 829 MINNESOTA ST, LANTANA, FL, 334622752, US

Contacts

Phone +1 855-740-1181

Authorized person

Name BRANDAN FREEMAN
Role COO
Phone 8557401181

Taxonomy

Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary Yes

Agent

Name Role Address
A Registered Agent Agent 7901 4TH Street North, Suite 300, St PEtersburg, FL 33702

Manager

Name Role
MAGNIFIED HEALTH SYSTEMS LLC Manager

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2022-07-15 A Registered Agent No data
REGISTERED AGENT ADDRESS CHANGED 2022-07-15 7901 4TH Street North, Suite 300, St PEtersburg, FL 33702 No data

Documents

Name Date
ANNUAL REPORT 2022-07-15
Florida Limited Liability 2021-12-28

Date of last update: 13 Jan 2025

Sources: Florida Department of State