| Entity Name: | COMMUNITY BEHAVIORAL MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jul 2012 (13 years ago) |
| Document Number: | P12000065756 |
| FEI/EIN Number | 46-0672674 |
| Mail Address: | 9440 NW 35TH CT, MIAMI, FL, 33147, US |
| Address: | 3 SW 129th Avenue, Pembroke Pines, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790493104 | 2022-11-14 | 2022-11-14 | 9440 NW 35TH CT, MIAMI, FL, 331472730, US | 3 SW 129TH AVE STE 203, PEMBROKE PINES, FL, 330271779, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-589-2539 |
Authorized person
| Name | LIDICE GISEL CARRILLO CABRERA |
| Role | PRESIDENT |
| Phone | 9545892539 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ GUILLEN GERMAN P | Agent | 9440 NW 35TH CT, MIAMI, FL, 33147 |
| Name | Role | Address |
|---|---|---|
| GOMEZ GUILLEN GERMAN | President | 3 SW 129th Avenue, Pembroke Pines, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-27 | GOMEZ GUILLEN, GERMAN, P | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-01 | 3 SW 129th Avenue, SUITE 203, Pembroke Pines, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2013-11-14 | 3 SW 129th Avenue, SUITE 203, Pembroke Pines, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-11-14 | 9440 NW 35TH CT, MIAMI, FL 33147 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-19 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
