| Entity Name: | TMZ BEHAVIORAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Apr 2022 (3 years ago) |
| Document Number: | L22000177443 |
| FEI/EIN Number | 88-2648443 |
| Address: | 13710 WEST STATE ROAD, 84, DAVIE, FL 33325 |
| Mail Address: | 1210 SW 118TH TER, DAVIE, FL 33325 |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073244745 | 2022-06-22 | 2022-06-22 | 1210 SW 118TH TER, DAVIE, FL, 333253879, US | 1210 SW 118TH TER, DAVIE, FL, 333253879, US | |||||||||||||
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| Phone | +1 786-357-5140 |
Authorized person
| Name | CHARLINE BOUFIN TEBEU |
| Role | PMHNP |
| Phone | 7863575140 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| BOUFIN TEBEU, CHARLINE | Manager | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-28 | 13710 WEST STATE ROAD, 84, DAVIE, FL 33325 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-28 | 13710 WEST STATE ROAD, 84, DAVIE, FL 33325 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-02-01 |
| Florida Limited Liability | 2022-04-13 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
