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SUNRISE DETOX III, LLC

Company Details

Entity Name: SUNRISE DETOX III, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 19 Jul 2012 (13 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 12 May 2023 (2 years ago)
Document Number: M12000004084
FEI/EIN Number N/A
Address: 2328 10TH Ave N, Suite 300, LAKE WORTH BEACH, FL 33461
Mail Address: 2328 10TH Ave N, Suite 300, LAKE WORTH BEACH, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700135399 2012-08-29 2023-10-11 2328 10TH AVE N, #301, LAKE WORTH, FL, 334616606, US 2331 NE 53RD ST, FORT LAUDERDALE, FL, 333083235, US

Contacts

Phone +1 561-318-4414
Fax 5615333832
Phone +1 954-491-9700
Fax 5612280836

Authorized person

Name MS. JASON USILTON
Role DIRECTOR
Phone 5613184400

Taxonomy

Taxonomy Code 320800000X - Mental Illness Community Based Residential Treatment Facility
Is Primary Yes
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
License Number 1706AD576201
State FL
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

MANAGER

Name Role Address
DORAN, TIMOTHY MANAGER 2328 10TH Ave N, Suite 300 LAKE WORTH BEACH, FL 33461

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-17 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data
CHANGE OF PRINCIPAL ADDRESS 2024-04-24 2328 10TH Ave N, Suite 300, LAKE WORTH BEACH, FL 33461 No data
CHANGE OF MAILING ADDRESS 2024-04-24 2328 10TH Ave N, Suite 300, LAKE WORTH BEACH, FL 33461 No data
REGISTERED AGENT NAME CHANGED 2023-05-12 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-12 1201 HAYS STREET, 3001 PALM BEACH BLVD, #305, TALLAHASSEE, FL 32301 No data
LC STMNT OF RA/RO CHG 2023-05-12 No data No data
LC AMENDMENT 2012-12-21 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-05-22
CORLCRACHG 2023-05-12
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-02-22

Date of last update: 23 Jan 2025

Sources: Florida Department of State