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CENTRAL FLORIDA MENTAL HEALTH SERVICES LLC

Company Details

Entity Name: CENTRAL FLORIDA MENTAL HEALTH SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 May 2023 (2 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Jan 2025 (24 days ago)
Document Number: L23000262536
FEI/EIN Number 93-1667101
Address: 701 PETES LN, DAVENPORT, FL 33837
Mail Address: 701 PETES LN, DAVENPORT, FL 33837
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144901240 2023-07-31 2024-10-29 701 PETES LN, DAVENPORT, FL, 338378762, US 4700 MILLENIA BLVD STE 500, ORLANDO, FL, 328396019, US

Authorized person

Name LUIS COLON MARQUEZ
Role OWNER
Phone 7874642592

Taxonomy

Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
COLON MARQUEZ, LUIS E Agent 701 PETES LN, DAVENPORT, FL 33837

Authorized Member

Name Role Address
COLON MARQUEZ, LUIS E Authorized Member 701 PETES LN, DAVENPORT, FL 32837

Events

Event Type Filed Date Value Description
REINSTATEMENT 2025-01-29 No data No data
REGISTERED AGENT NAME CHANGED 2025-01-29 COLON MARQUEZ, LUIS E No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
LC AMENDMENT AND NAME CHANGE 2023-06-02 CENTRAL FLORIDA MENTAL HEALTH SERVICES LLC No data

Documents

Name Date
REINSTATEMENT 2025-01-29
LC Amendment and Name Change 2023-06-02
Florida Limited Liability 2023-05-30

Date of last update: 10 Feb 2025

Sources: Florida Department of State