| Entity Name: | BANYAN GULF BREEZE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Mar 2023 (2 years ago) |
| Document Number: | M23000004145 |
| FEI/EIN Number | 923195368 |
| Address: | 4400 Hickory Shores Boulevard, GULF BREEZE, FL, 32563, US |
| Mail Address: | 1830 Hickory Shores Rd, GULF BREEZE, FL, 32563, US |
| ZIP code: | 32563 |
| County: | Santa Rosa |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033899372 | 2023-07-21 | 2024-07-09 | 225 N FEDERAL HWY, POMPANO BEACH, FL, 330624319, US | 4400 HICKORY SHORES BLVD, GULF BREEZE, FL, 325639111, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-533-7705 |
Authorized person
| Name | JOHN SORY |
| Role | CEO |
| Phone | 9545337705 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| BTC INTERMEDIATE HOLDINGS LLC | Member | 225 N FEDERAL HWY, 8TH FLOOR, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-08-28 | 4400 Hickory Shores Boulevard, GULF BREEZE, FL 32563 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-28 | 4400 Hickory Shores Boulevard, GULF BREEZE, FL 32563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Foreign Limited | 2023-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
