Entity Name: | IRECOVERYUSA FOUNDATION, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Inactive |
Date Filed: | 06 Oct 2021 (3 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | N21000011904 |
FEI/EIN Number | 87-3875217 |
Address: | 6405 CONGRESS AVE, STE. 160, BOCA RATON, FL 33487 |
Mail Address: | 6405 CONGRESS AVE, STE. 160, BOCA RATON, FL 33487 |
ZIP code: | 33487 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437801438 | 2022-01-20 | 2022-01-20 | 5030 CHAMPION BLVD STE G11-535, BOCA RATON, FL, 334962473, US | 6405 CONGRESS AVE STE 160, BOCA RATON, FL, 334872861, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 561-464-5545 |
Fax | 5614645501 |
Authorized person
Name | JEFFREY A ZIPPER |
Role | CEO |
Phone | 5612357683 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | No |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | No |
Taxonomy Code | 106H00000X - Marriage & Family Therapist |
Is Primary | No |
Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 2083A0300X - Addiction Medicine (Preventive Medicine) Physician |
Is Primary | Yes |
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
ST. JOHN, SUSAN L | Agent | 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444 |
Name | Role | Address |
---|---|---|
ZIPPER, JEFFREY, M.D. | President | 6405 CONGRESS AVE, STE. 160, BOCA RATON, FL 33487 |
Name | Role | Address |
---|---|---|
KROST, STUART | Director | 6405 CONGRESS AVE, STE. 160, BOCA RATON, FL 33487 |
HALLIBURTON, JASON | Director | 6405 CONGRESS AVE, STE. 160, BOCA RATON, FL 33487 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-02-16 |
ANNUAL REPORT | 2022-04-12 |
Domestic Non-Profit | 2021-10-06 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State