| Entity Name: | S FL BEHAVIORAL HEALTH ASSOC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Feb 2024 (a year ago) |
| Document Number: | L24000059701 |
| Address: | 1250 E HALLANDALE BEACH BLVD, 703, HALLANDALE BEACH, FL, 33009, US |
| Mail Address: | 200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 33009, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699538140 | 2024-02-06 | 2024-02-06 | 200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330095525, US | 1250 E HALLANDALE BEACH BLVD STE 700, HALLANDALE BEACH, FL, 330094641, US | |||||||||||||||
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| Phone | +1 954-362-8677 |
| Fax | 9544588167 |
Authorized person
| Name | CATHERINE FUNES |
| Role | OWNER |
| Phone | 9543628677 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUELSON VICTORIA | Agent | 200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| FUNES CATHERINES | Authorized Member | 21205 NE 37TH AVE APT 1808, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| SAMUELSON VICTORIA | Manager | 10582 E KEY DRIVE, BOCA RATON, FL, 33498 |
| KIRSHBAUM RANDY | Manager | 10582 E KEY DRIVE, BOCA RATON, FL, 33498 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
