| Entity Name: | A.BENAVIDES THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jan 2022 (3 years ago) |
| Document Number: | L22000042629 |
| FEI/EIN Number | 88-0551000 |
| Address: | 303 TIMBERLANE CIRCLE, GREENACRES, FL, 33463, UN |
| Mail Address: | 303 TIMBERLANE CIRCLE, GREENACRES, FL, 33463, UN |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558054239 | 2023-05-30 | 2023-05-30 | 303 TIMBERLANE CIR, GREENACRES, FL, 334638405, US | 303 TIMBERLANE CIR, GREENACRES, FL, 334638405, US | |||||||||||||
|
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| Phone | +1 561-255-7892 |
Authorized person
| Name | ALICIA E FALCON |
| Role | AUTHORIZED OFFICIAL |
| Phone | 5612557892 |
Taxonomy
| Taxonomy Code | 222Q00000X - Developmental Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FALCON ALICIA E | Agent | 303 TIMBERLANE CIRCLE, GREENACRES, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| FALCON ALICIA E | Authorized Representative | 303 TIMBERLANE CIRCLE, GREENACRES, FL, 33463 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-05 |
| Florida Limited Liability | 2022-01-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
