| Entity Name: | RAPHA FAMILY CENTRE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2022 (3 years ago) |
| Document Number: | L22000282816 |
| FEI/EIN Number | 88-2958391 |
| Address: | 2008 N GOLDENROD RD., ORLANDO, FL, 32807, US |
| Mail Address: | 2008 N GOLDENROD RD., ORLANDO, FL, 32807, US |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801516448 | 2022-09-01 | 2023-02-14 | 2008 N GOLDENROD RD BLDG 300, ORLANDO, FL, 328078544, US | 2008 N GOLDENROD RD BLDG 300, ORLANDO, FL, 328078544, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-440-7193 |
Authorized person
| Name | DR. LUIS W LOPEZ |
| Role | OWNER |
| Phone | 7876731486 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TR0400X - Rehabilitation Psychologist |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Rivera Daymarie | Agent | 2008 N GOLDENROD RD., BLDG. 300, ORLANDO, FL, 32807 |
| Name | Role | Address |
|---|---|---|
| LOPEZ LUIS | Manager | 2008 N GOLDENROD RD., ORLANDO, FL, 32807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-07 | Rivera, Daymarie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-05 | 2008 N GOLDENROD RD., BLDG. 300, ORLANDO, FL 32807 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| AMENDED ANNUAL REPORT | 2023-06-07 |
| Reg. Agent Change | 2023-06-05 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-06-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
