Entity Name: | FLORIDA COMMUNITY BEHAVIORAL CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 14 Jan 2008 (17 years ago) |
Date of dissolution: | 24 Sep 2010 (14 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2010 (14 years ago) |
Document Number: | P08000004670 |
FEI/EIN Number | 90-0344209 |
Address: | 6610 EMBASSY BLVD., SUITE A, PORT RICHEY, FL 34668 |
Mail Address: | 6610 EMBASSY BLVD., SUITE A, PORT RICHEY, FL 34668 |
ZIP code: | 34668 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316199029 | 2008-10-14 | 2009-01-07 | 6610 EMBASSY BLVD, SUITE A, PORT RICHEY, FL, 346684897, US | 6610 EMBASSY BLVD, SUITE A, PORT RICHEY, FL, 346684897, US | |||||||||||||||||||
|
Phone | +1 727-849-2255 |
Fax | 7278492202 |
Authorized person
Name | MR. GENER BROJAN |
Role | PRESIDENT/CEO |
Phone | 7276427803 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
License Number | 7933 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HEALTHCARE FINANCIAL & MANAGEMENT SERVICES | Agent | 111 VOLLMER AVE., OLDSMAR, FL 34677 |
Name | Role | Address |
---|---|---|
BROJAN, GENER | President | 6610 EMBASSY BLVD., SUITE A, PORT RICHEY, FL 34668 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CANCEL ADM DISS/REV | 2009-11-03 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2009-11-03 | 111 VOLLMER AVE., OLDSMAR, FL 34677 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2009-11-03 |
Domestic Profit | 2008-01-14 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State