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BLUE CARE BEHAVIOR THERAPY LLC

Company Details

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

National Provider Identifier

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

Contacts

Phone +1 904-662-7093
Fax 9045064340

Authorized person

Name ANAY QUINTORO
Role OWNER
Phone 7865994901

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Agent

Name Role Address
QUINTERO ANAY Agent 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207

President

Name Role Address
QUINTERO ANAY President 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207

Vice President

Name Role Address
LOPEZ HERNANDEZ LITZY Vice President 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207

Secretary

Name Role Address
DILLS DAYRA Y Secretary 5516 ROBERT SCOTT DR N, JACKSONVILLE, FL, 32207

Fictitious Names

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

Documents

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