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BG CLINICAL INTERVENTION LLC

Company Details

Entity Name: BG CLINICAL INTERVENTION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 May 2023 (2 years ago)
Document Number: L23000241767
FEI/EIN Number 90-1577539
Address: 1601 N Palm Ave., Pembroke Pines, FL 33026
Mail Address: 11040 N LAKEVIEW DRIVE, PEMBROKE PINES, FL 33026
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710752274 2023-11-15 2023-11-15 11040 N LAKEVIEW DR, PEMBROKE PINES, FL, 330263015, US 840 N LAUDERDALE AVE, NORTH LAUDERDALE, FL, 330682001, US

Contacts

Phone +1 646-479-6089

Authorized person

Name BARBARA GARCIA
Role OWNER
Phone 6464796089

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
GARCIA, BARBARA Agent 11040 N LAKEVIEW DRIVE, PEMBROKE PINES, FL 33026

Authorized Member

Name Role Address
GARCIA, BARBARA Authorized Member 11040 N LAKEVIEW DRIVE, PEMBROKE PINES, FL 33026

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-10 1601 N Palm Ave., Pembroke Pines, FL 33026 No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
Florida Limited Liability 2023-05-16

Date of last update: 10 Feb 2025

Sources: Florida Department of State