| Entity Name: | SOFLO BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 May 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000234625 |
| Address: | 1440 N FEDERAL HIGHWAY #18, DELRAY BEACH, FL 33483 UN |
| Mail Address: | 1440 N FEDERAL HIGHWAY #18, DELRAY BEACH, FL 33483 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215668041 | 2022-06-22 | 2022-06-22 | 1440 N FEDERAL HWY STE 15, DELRAY BEACH, FL, 334835922, US | 1440 N FEDERAL HWY STE 15, DELRAY BEACH, FL, 334835922, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-297-9802 |
Authorized person
| Name | LESLIE BRAVO |
| Role | CEO |
| Phone | 9542979802 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | No |
| Name | Role |
|---|---|
| L BRAVO GROUP LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BRAVO, LESLIE | Manager | 3982 CORAL TREE CIRCLE, COCONUT CREEK, FL 33073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-05-19 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
