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BEHAVIORAL HEALTH INTEGRATIVE CARE OF FL, LLC

Company Details

Entity Name: BEHAVIORAL HEALTH INTEGRATIVE CARE OF FL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 16 Nov 2022 (2 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: L22000494248
Address: 4020 LAKE WORTH ROAD, PALM SPRINGS, FL 33461
Mail Address: 4020 LAKE WORTH ROAD, PALM SPRINGS, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952013278 2022-12-19 2022-12-19 471 SPENCER DR STE B, WEST PALM BEACH, FL, 334093675, US 7350 SANDLAKE COMMONS BLVD STE 2205B, ORLANDO, FL, 328198031, US

Contacts

Phone +1 855-859-8850
Fax 5614739426
Phone +1 855-859-8810

Authorized person

Name ALICIA M PIERCE
Role CORP. OPS MANAGER
Phone 5614739426

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
KOROGODSKY, SCOTT Agent 4020 LAKE WORTH ROAD, PALM SPRINGS, FL 33461

Manager

Name Role Address
SCHORR, PETER Manager 4020 LAKE WORTH ROAD, PALM SPRINGS, FL 33461

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2022-11-16

Date of last update: 11 Jan 2025

Sources: Florida Department of State