| Entity Name: | CORAL SPRINGS BEHAVIORAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Jul 2024 (6 months ago) |
| Document Number: | L24000337801 |
| Address: | 5850 CORAL RIDGE DR, SUITE # 203, CORAL SPRINGS, FL 33076 |
| Mail Address: | 5850 CORAL RIDGE DR, SUITE # 203, CORAL SPRINGS, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871312249 | 2024-10-03 | 2024-10-03 | 5850 CORAL RIDGE DR STE 203, CORAL SPRINGS, FL, 330763379, US | 5850 CORAL RIDGE DR STE 203, CORAL SPRINGS, FL, 330763379, US | |||||||||||||
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| Phone | +1 786-389-4391 |
Authorized person
| Name | ANDRIAN FERNANDEZ CABALO |
| Role | CEO |
| Phone | 7863971806 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ CABALO, ANDRIAN M | Agent | 4271 NW 4TH ST, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ CABALO, ANDRIAN M | Authorized Member | 4271 NW 4TH ST, MIAMI, FL 33126 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-31 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
