| Entity Name: | HOLLYWOOD BEACH RECOVERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Sep 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000421411 |
| FEI/EIN Number | 92-0716763 |
| Address: | 5555 HOLLYWOOD BLVD, SUITE 303, HOLLYWOOD, FL 33021 |
| Mail Address: | 5555 HOLLYWOOD BLVD, SUITE 303, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639954951 | 2023-08-25 | 2023-08-25 | 5555 HOLLYWOOD BLVD, SUITE 303, HOLLYWOOD, FL, 33021, US | 5555 HOLLYWOOD BLVD, SUITE 303, HOLLYWOOD, FL, 33021, US | |||||||||||||
|
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| Phone | +1 800-485-3376 |
Authorized person
| Name | TARVIS WILLIAMS |
| Role | PRESIDENT |
| Phone | 3058907982 |
Taxonomy
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARY IAN NESBITT ESQ | Agent | 4000 HOLLYWOOD BLVD, SUITE 500-N, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| GORDON, JOAN | Manager | 5555 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 |
| MELLA, MIGUEL | Manager | 5555 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 |
| WILLIAMS, TARVIS | Manager | 5555 HOLLYWOOD BLVD, SUITE 303 HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-05 | 5555 HOLLYWOOD BLVD, SUITE 303, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-05 | 5555 HOLLYWOOD BLVD, SUITE 303, HOLLYWOOD, FL 33021 | No data |
| LC AMENDMENT | 2023-03-27 | No data | No data |
| LC AMENDMENT | 2023-01-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-09 | GARY IAN NESBITT ESQ | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-05-01 |
| LC Amendment | 2023-03-27 |
| LC Amendment | 2023-01-09 |
| Florida Limited Liability | 2022-09-28 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
