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BANYAN HEALTH SYSTEMS, INC.

BANYAN HEALTH SYSTEMS, INC.

Company Details

Entity Name:	BANYAN HEALTH SYSTEMS, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Inactive
Date Filed:	01 Jun 1992 (33 years ago)
Document Number:	N49160
FEI/EIN Number	650373584
Address:	6100 BLUE LAGOON DRIVE, MIAMI, FL, 33126, US
Mail Address:	6100 BLUE LAGOON DRIVE, MIAMI, FL, 33126, US
ZIP code:	33126
County:	Miami-Dade
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1275961872

2013-10-17

2013-10-17

310 FONTAINEBLEAU BLVD APT 505, MIAMI, FL, 331725726, US

11031 NE 6TH AVE, MIAMI, FL, 331617182, US

Contacts

Phone	+1 305-781-7265
Phone	+1 786-293-9544

Authorized person

Name	MR. ALEJANDRO JAVIER LOPEZ JR.
Role	THERAPIST
Phone	3057817265

Taxonomy

Taxonomy Code	261QR0400X - Rehabilitation Clinic/Center
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BANYAN HEALTH SYSTEMS, INC. PROFIT SHARING PLAN

2020

650373584

2021-11-03

BANYAN HEALTH SYSTEMS, INC.

61

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1989-01-01
Business code	621420
Sponsor’s telephone number	3053986101
Plan sponsor’s address	6100 BLUE LAGOON DRIVE, SUITE 400, MIAMI, FL, 33126

BANYAN HEALTH SYSTEMS, INC. PROFIT SHARING PLAN

2020

650373584

2021-07-13

BANYAN HEALTH SYSTEMS, INC.

64

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1989-01-01
Business code	621420
Sponsor’s telephone number	3053986101
Plan sponsor’s address	6100 BLUE LAGOON DRIVE, SUITE 400, MIAMI, FL, 33126

BANYAN HEALTH SYSTEMS, INC. PROFIT SHARING PLAN

2019

650373584

2020-10-15

BANYAN HEALTH SYSTEMS, INC.

78

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1989-01-01
Business code	621420
Sponsor’s telephone number	3053986101
Plan sponsor’s address	6100 BLUE LAGOON DRIVE, SUITE 400, MIAMI, FL, 33126

BANYAN HEALTH SYSTEMS, INC. PROFIT SHARING PLAN

2018

650373584

2019-11-07

BANYAN HEALTH SYSTEMS, INC.

80

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1989-01-01
Business code	621420
Sponsor’s telephone number	3053986101
Plan sponsor’s address	6100 BLUE LAGOON DRIVE, SUITE 400, MIAMI, FL, 33126

BANYAN HEALTH SYSTEMS, INC. PROFIT SHARING PLAN

2017

650373584

2018-10-15

BANYAN HEALTH SYSTEMS, INC.

70

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1989-01-01
Business code	621420
Sponsor’s telephone number	3053986101
Plan sponsor’s address	6100 BLUE LAGOON DRIVE, SUITE 400, MIAMI, FL, 33126

Agent

Name	Role	Address
CARRODEGUAS VINCENT	Agent	6100 Blue Lagoon Drive, Suite 400, MIAMI, FL, 33126

Secretary

Name	Role	Address
NIEBLA Manuel	Secretary	6100 Blue Lagoon Drive, Suite 400, Miami, FL, 33126

Treasurer

Name	Role	Address
PALMAR JOSEPH	Treasurer	6100 Blue Lagoon Drive, # 400, Miami, FL, 33126

Chairman

Name	Role	Address
GUERRA CAROLYN	Chairman	6100 Blue Lagoon Drive, Suite 400, Miami, FL, 33126

Chief Executive Officer

Name	Role	Address
CARRODEGUAS VINCENT	Chief Executive Officer	6100 Blue Lagoon Drive, Suite 400, Miami, FL, 33126

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2023-09-22	No data	No data
NAME CHANGE AMENDMENT	2014-02-14	BANYAN HEALTH SYSTEMS, INC.	No data
AMENDMENT	1995-03-01	No data	No data
AMENDMENT	1992-10-12	No data	No data
AMENDMENT	1992-08-20	No data	No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State