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  5. SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED

SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED

Company Details

Entity Name: SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 28 May 1996 (29 years ago)
Document Number: N96000002803
FEI/EIN Number 593380599
Address: 7205 NW 19TH STREET, MIAMI, FL, 33126, US
Mail Address: 7205 NW 19TH STREET, 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
1316030265 2006-10-02 2013-03-07 7205 CORPORATE CENTER DR, SUITE 200, MIAMI, FL, 331261216, US 7205 CORPORATE CENTER DR, SUITE 200, MIAMI, FL, 331261216, US

Contacts
Phone +1 305-858-3335
Fax 3058604869

Authorized person
Name MR. JOHN W. DOW
Role PRESIDENT AND CEO
Phone 3058583335

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 2021 593380599 2023-04-03 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 621330
Sponsor’s telephone number 3058583335
Plan sponsor’s address 7205 CORPORATE CENTER DR STE 200, MIAMI, FL, 331261228

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 2020 593380599 2022-04-18 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 621330
Sponsor’s telephone number 3058583335
Plan sponsor’s address 7205 CORPORATE CENTER DR STE 200, MIAMI, FL, 331261228

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 2019 593380599 2021-04-15 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 621330
Sponsor’s telephone number 3058583335
Plan sponsor’s address 7205 CORPORATE CENTER DR STE 200, MIAMI, FL, 331261228

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing JULIANA ORTIZ
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 2018 593380599 2020-03-12 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 621330
Sponsor’s telephone number 3058583335
Plan sponsor’s address 7205 CORPORATE CENTER DR STE 200, MIAMI, FL, 331261228

Signature of
Role Plan administrator
Date 2020-03-12
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 2017 593380599 2019-01-07 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 73
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 521399
Sponsor’s telephone number 3058583335
Plan sponsor’s address 7205 CORPORATE CENTER DR STE 200, MIAMI, FL, 331261228

Signature of
Role Plan administrator
Date 2019-01-07
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 2017 593380599 2019-01-07 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 621330
Sponsor’s telephone number 3058583335
Plan sponsor’s address 7205 CORPORATE CENTER DR STE 200, MIAMI, FL, 331261228

Signature of
Role Plan administrator
Date 2019-01-07
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORA 2009 593380599 2011-01-05 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 3058583335
Plan sponsor’s address 2140 S DIXIE HWY STE 204-205, MIAMI, FL, 33133

Plan administrator’s name and address
Administrator’s EIN 593380599
Plan administrator’s name SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED
Plan administrator’s address 2140 S DIXIE HWY STE 204-205, MIAMI, FL, 33133
Administrator’s telephone number 3058583335

Signature of
Role Plan administrator
Date 2011-01-05
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-05
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NEWCOMER JOHN Dr. Agent 7205 NW 19TH STREET, MIAMI, FL, 33126

Treasurer

Name Role Address
FRANKLIN WILLIAM T Treasurer 26410 SW 149th Place, HOMESTEAD, FL, 33032

Secretary

Name Role Address
RACHER SUSAN Secretary 10303 SW 72 AVENUE, MIAMI, FL, 33156

Chairman

Name Role Address
IMBRONE PAUL Chairman 250 EAST ROYAL PALM ROAD, BOCA RATON, FL, 33432
ARMSTRONG PAUL M Chairman 81990 OVERSEAS HWY, ISLAMARADA, FL, 33026

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000053582 THRIVING MIND SOUTH FLORIDA ACTIVE 2019-05-01 2029-12-31 No data 7205 NW 19TH STREET, SUITE 200, MIAMI, FL, 33126
G10000034505 SOUTH FLORIDA PROVIDER COALITION, INC. EXPIRED 2010-04-19 2015-12-31 No data 2140 SOUTH DIXIE HIGHWAY, SUITE 205, MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
RESTATED ARTICLES AND NAME CHANGE 2010-04-09 SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INCORPORATED No data
RESTATED ARTICLES 2009-04-21 No data No data
AMENDMENT 2005-05-03 No data No data
AMENDMENT 2002-12-05 No data No data

Related by officers

RACHER SUSAN

WHC INTERNATIONAL, INC. CC TROPICALS, INC.

IMBRONE PAUL

VILLA DEL VERDE CONDOMINUM ASSOC., INC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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