Entity Name: | BLUE CARE BEHAVIOR THERAPY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 May 2022 (3 years ago) |
Document Number: | L22000211875 |
FEI/EIN Number | 88-2438258 |
Address: | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207, US |
Mail Address: | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207, US |
ZIP code: | 32207 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831821966 | 2022-06-28 | 2022-06-28 | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 322075961, US | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 322075961, US | |||||||||||||||
|
Phone | +1 904-662-7093 |
Fax | 9045064340 |
Authorized person
Name | ANAY QUINTORO |
Role | OWNER |
Phone | 7865994901 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
QUINTERO ANAY | Agent | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
---|---|---|
QUINTERO ANAY | President | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
---|---|---|
LOPEZ HERNANDEZ LITZY | Vice President | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
---|---|---|
DILLS DAYRA Y | Secretary | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000092305 | BLUE CARE THERAPY | ACTIVE | 2022-08-04 | 2027-12-31 | No data | 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-02 |
ANNUAL REPORT | 2024-01-24 |
ANNUAL REPORT | 2023-02-06 |
Florida Limited Liability | 2022-05-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State