| Entity Name: | SUD FACILITY OPTIMIZATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Jul 2023 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L23000315998 |
| FEI/EIN Number | 85-4259334 |
| Address: | 1030 VENETIAN DRIVE, 202, MELBOURNE, FL 32904 |
| Mail Address: | 1030 VENETIAN DRIVE, 202, MELBOURNE, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467193623 | 2022-04-04 | 2022-08-06 | 1030 VENETIAN DR UNIT 202, MELBOURNE, FL, 329048466, US | 1030 VENETIAN DR UNIT 202, MELBOURNE, FL, 329048466, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-260-0104 |
Authorized person
| Name | DR. JAY BOULDIN |
| Role | RESEARCH DIRECTOR |
| Phone | 3219892187 |
Taxonomy
| Taxonomy Code | 163WA0400X - Addiction (Substance Use Disorder) Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | No |
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHLEBOUN, CALEE J | Agent | 1030 VENETIAN DR, UNIT 202, MELBOURNE, FL 32904 |
| Name | Role | Address |
|---|---|---|
| CALEE JO CHLEBOUN | Authorized Member | 1030 VENETIAN DRIVE, MELBOURNE, FL 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC AMENDMENT | 2023-07-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-10 | 1030 VENETIAN DRIVE, 202, MELBOURNE, FL 32904 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-10 | 1030 VENETIAN DRIVE, 202, MELBOURNE, FL 32904 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2023-07-28 |
| Florida Limited Liability | 2023-07-03 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
