| Entity Name: | HORIZON BEHAVIORAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2012 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P12000084403 |
| FEI/EIN Number | 46-1130255 |
| Address: | 130 SOUTH UNIVERSITY DRIVE,, PLANTATION, FL, 33324, US |
| Mail Address: | 130 SOUTH UNIVERSITY DRIVE,, PLANTATION, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699126235 | 2016-06-24 | 2022-07-21 | 130 SOUTH UNIVERSITY DRIVE, SUITE B, PLANTATION, FL, 333243357, US | 130 S UNIVERSITY DR, SUITE B, PLANTATION, FL, 333243357, US | |||||||||||||||||||||||
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| Phone | +1 954-530-4526 |
Authorized person
| Name | SAYONARA BAEZ |
| Role | CEO |
| Phone | 9545304526 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 0601 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257362800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAEZ SAYONARA | Agent | 130 SOUTH UNIVERSITY DRIVE - STE. B, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| BAEZ SAYONARA | Director | 130 South University Drive, PLANTATION, FL, 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000115264 | HORIZON TELEPSYCHIATRIC PROVIDERS, P.A. | EXPIRED | 2013-11-25 | 2018-12-31 | No data | 7860 PETERS ROAD BLDG F SUITE 111, PLANTATION, FL, 33324 |
| G13000083097 | HORIZON DETOX CENTER | EXPIRED | 2013-08-21 | 2018-12-31 | No data | 7860 PETERS ROAD BLDG F STE 111, PLANTATION, FL, 33324 |
| G13000043214 | HORIZON BEHAVIORAL CENTER | EXPIRED | 2013-05-06 | 2018-12-31 | No data | 7860 PETERS ROAD BLDG F-111, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-20 | 130 SOUTH UNIVERSITY DRIVE,, SUITE D, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-20 | 130 SOUTH UNIVERSITY DRIVE,, SUITE D, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-05-08 | 130 SOUTH UNIVERSITY DRIVE - STE. B, PLANTATION, FL 33324 | No data |
| AMENDMENT AND NAME CHANGE | 2013-10-28 | HORIZON BEHAVIORAL CENTER, P.A. | No data |
| NAME CHANGE AMENDMENT | 2012-10-11 | HORIZON TELEPSYCHIATRIC PROVIDERS, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-01-16 |
| Reg. Agent Change | 2015-05-08 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-03-21 |
| Amendment and Name Change | 2013-10-28 |
| Reg. Agent Change | 2013-03-08 |
| ANNUAL REPORT | 2013-02-07 |
| Name Change | 2012-10-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
