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POSITIVE PATH OF DEERFIELD BEACH, INC

Company Details

Entity Name: POSITIVE PATH OF DEERFIELD BEACH, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Apr 2015 (10 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P15000036470
Address: 1400 EAST HILLSBORO BLVD - SECOND FLOOR, DEERFIELD BEACH, FL, 33441
Mail Address: 40 CRESTRIDGE DR., JACKSON, TN, 38305
ZIP code: 33441
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730561358 2015-06-19 2015-06-19 1400 EAST HILLSBORO BLVD, 2ND FLOOR, DEERFIELD BEACH, FL, 33441, US 1400 EAST HILLSBORO BLVD, 2ND FLOOR, DEERFIELD BEACH, FL, 33441, US

Contacts

Phone +1 561-715-3260

Authorized person

Name JORDAN NEEDELL
Role PROGRAM DIRECTOR
Phone 5617153260

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
NEEDELL JORDAN Agent 4267 NW 1ST DRIVE, DEERFIELD BEACH, FL, 33442

Chief Executive Officer

Name Role Address
WATT RAYMOND J Chief Executive Officer 40 CRESTRIDGE DR., JACKSON, TN, 38305

Chief Operating Officer

Name Role Address
ROBINSON STEVEN D Chief Operating Officer 10840 REDMOND RD, AUSTIN, TX, 78739

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
AMENDMENT AND NAME CHANGE 2015-05-28 POSITIVE PATH OF DEERFIELD BEACH, INC No data
CHANGE OF PRINCIPAL ADDRESS 2015-05-28 1400 EAST HILLSBORO BLVD - SECOND FLOOR, DEERFIELD BEACH, FL 33441 No data
CHANGE OF MAILING ADDRESS 2015-05-28 1400 EAST HILLSBORO BLVD - SECOND FLOOR, DEERFIELD BEACH, FL 33441 No data

Documents

Name Date
Amendment and Name Change 2015-05-28
Domestic Profit 2015-04-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State