| Entity Name: | PORT CHARLOTTE DETOX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2022 (3 years ago) |
| Document Number: | L22000028134 |
| FEI/EIN Number | 87-4674072 |
| Address: | 3460 DEPEW AVE, PORT CHARLOTTE, FL, 33952, US |
| Mail Address: | 3460 DEPEW AVE, PORT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497408488 | 2022-01-31 | 2022-01-31 | 3460 DEPEW AVE, PORT CHARLOTTE, FL, 339527015, US | 3460 DEPEW AVE, PORT CHARLOTTE, FL, 339527015, US | |||||||||||||
|
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| Phone | +1 609-342-9430 |
Authorized person
| Name | TIMOTHY MEISE |
| Role | CEO |
| Phone | 6093429430 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sundquist Stephen | Agent | 3460 DEPEW AVE, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| Sundquist Stephen | Manager | 17519 TANGERINE BLVD, LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| JULIANO JAMES FSR | Authorized Member | 2170 NE 51ST CT, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-05-10 | Sundquist, Stephen | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-10 | 3460 DEPEW AVE, PORT CHARLOTTE, FL 33952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-05-10 |
| Florida Limited Liability | 2022-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
