| Entity Name: | TRILOGY TREATMENT AND WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Apr 2013 (12 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P13000038626 |
| FEI/EIN Number | 46-2575369 |
| Address: | 6555 NW 9th Ave, Fort Lauderdale, FL, 33309, US |
| Mail Address: | 6555 NW 9th Ave, Fort Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891160719 | 2015-12-03 | 2020-02-19 | 6555 NW 9TH AVE., SUITE 112, FORT LAUDERDALE, FL, 33309, US | 6555 NW 9TH AVE, SUITE 112, FORT LAUDERDALE, FL, 333092067, US | |||||||||||||||||||||||||
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| Phone | +1 954-771-2091 |
| Fax | 9547712098 |
Authorized person
| Name | BENJAMIN BRAFMAN |
| Role | CEO |
| Phone | 9547712091 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 12380 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | HCC12380 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRAFMAN BENJAMIN | Agent | 8301 W. McNab Rd., Tamarac, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| BRAFMAN BENJAMIN | President | 12716 NW 67 DRIVE, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| BRAFMAN SUZANNE | Secretary | 12716 NW 67 DRIVE, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| BRAFMAN SUZANNE | Treasurer | 12716 NW 67 DRIVE, PARKLAND, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-30 | 6555 NW 9th Ave, Suite 208, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-30 | 6555 NW 9th Ave, Suite 208, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-26 | 8301 W. McNab Rd., Tamarac, FL 33321 | No data |
| NAME CHANGE AMENDMENT | 2016-06-30 | TRILOGY TREATMENT AND WELLNESS CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-24 |
| Name Change | 2016-06-30 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-29 |
| Domestic Profit | 2013-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
