| Entity Name: | DRAGONFLY BEHAVIORAL HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Sep 2024 (5 months ago) |
| Document Number: | L24000383506 |
| FEI/EIN Number | 99-4817159 |
| Address: | 1 11TH AVE STE A2, SHALIMAR, FL 32579 |
| Mail Address: | 1 11TH AVE STE A2, SHALIMAR, FL 32579 |
| ZIP code: | 32579 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467271692 | 2024-10-04 | 2024-10-04 | 1 11TH AVE STE A2, SHALIMAR, FL, 325791318, US | 1 11TH AVE STE A2, SHALIMAR, FL, 325791318, US | |||||||||||||||
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| Phone | +1 575-386-6585 |
| Phone | +1 850-790-9621 |
Authorized person
| Name | MR. RYAN BRADLEY |
| Role | PHYSICIAN ASSISTANT/OWNER |
| Phone | 5753866585 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BRADLEY, RYAN S | Authorized Member | 1 11TH AVE STE A2, SHALIMAR, FL 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-11-01 | 1 11TH AVE STE A2, SHALIMAR, FL 32579 | No data |
| CHANGE OF MAILING ADDRESS | 2025-11-01 | 1 11TH AVE STE A2, SHALIMAR, FL 32579 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-01 | 1 11TH AVE STE A2, SHALIMAR, FL 32579 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-01 | 1 11TH AVE STE A2, SHALIMAR, FL 32579 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-03 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
