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BOSC MENTAL HEALTH, LLC

Company Details

Entity Name: BOSC MENTAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jan 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 22 Feb 2022 (3 years ago)
Document Number: L22000035368
FEI/EIN Number 87-4789592
Address: 15233 NW 87TH CT, MIAMI LAKES, FL, 33018, US
Mail Address: 15233 NW 87TH CT, MIAMI LAKES, FL, 33018, US
ZIP code: 33018
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053191890 2023-09-29 2023-09-29 6854 TRELLIS VINE LOOP, WINDERMERE, FL, 347860266, US 15233 NW 87TH CT, MIAMI LAKES, FL, 330181359, US

Contacts

Phone +1 786-643-3835
Fax 3054707457

Authorized person

Name DANIEL FRUTOS
Role OWNER
Phone 7866433835

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
FRUTOS DANIEL Agent 15233 NW 87TH CT, MIAMI LAKES, FL, 33018

Authorized Member

Name Role Address
NAPOLES ROSA N Authorized Member 15233 NW 87TH CT, MIAMI LAKES, FL, 33018
FRUTOS DANIEL S Authorized Member 15233 NW 87TH CT, MIAMI LAKES, FL, 33018

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-02-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-14
LC Amendment 2022-02-22
Florida Limited Liability 2022-01-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State