| Entity Name: | BIRKMIRE BEHAVIORAL HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Apr 2002 (23 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P02000045138 |
| FEI/EIN Number | 030426447 |
| Address: | 650 SOUTH CENTRAL AVE., 1000, OVIEDO, FL, 32765 |
| Mail Address: | 650 SOUTH CENTRAL AVE., 1000, OVIEDO, FL, 32765 |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689979874 | 2011-01-19 | 2011-01-25 | 650 S CENTRAL AVE, SUITE 4000, OVIEDO, FL, 327655900, US | 650 S CENTRAL AVE, SUITE 4000, OVIEDO, FL, 327655900, US | |||||||||||||||||||
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| Phone | +1 407-977-7943 |
| Fax | 4079777944 |
Authorized person
| Name | MS. JESSY LAGOMARSINO |
| Role | INSURANCE / BILLING SUPERVISOR |
| Phone | 4079777943 |
Taxonomy
| Taxonomy Code | 103TP0016X - Prescribing (Medical) Psychologist |
| License Number | ME75680 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BIRKMIRE REX A | Agent | 650 SOUTH CENTRAL AVE., OVIEDO, FL, 32776 |
| Name | Role | Address |
|---|---|---|
| BIRKMIRE REX A | President | 650 SOUTH CENTRAL AVE. STE. 1000, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-11-03 | 650 SOUTH CENTRAL AVE., 1000, OVIEDO, FL 32765 | No data |
| REINSTATEMENT | 2011-11-03 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-11-03 | 650 SOUTH CENTRAL AVE., 1000, OVIEDO, FL 32776 | No data |
| CHANGE OF MAILING ADDRESS | 2011-11-03 | 650 SOUTH CENTRAL AVE., 1000, OVIEDO, FL 32765 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-10-14 | BIRKMIRE, REX AM.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2011-11-03 |
| ADDRESS CHANGE | 2010-12-28 |
| ANNUAL REPORT | 2010-06-18 |
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-08-21 |
| REINSTATEMENT | 2005-10-14 |
| ANNUAL REPORT | 2004-08-17 |
| ANNUAL REPORT | 2003-07-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
