| Entity Name: | BLUEGREEN BEHAVIORAL HEALTH CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Feb 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P16000017607 |
| Address: | 3900 NW 79 AVE., DORAL, FL, 33166, US |
| Mail Address: | 3900 NW 79 AVE., DORAL, FL, 33166, US |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578924346 | 2016-03-08 | 2016-03-08 | 3900 NW 79TH AVE, SUITE 213, DORAL, FL, 331666556, US | 3900 NW 79TH AVE, SUITE 213, DORAL, FL, 331666556, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 786-518-9231 |
Authorized person
| Name | ROBERTO LEON |
| Role | PRESIDENT |
| Phone | 7865189231 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEON ROBERTO | Agent | 3900 NW 79 AVE., DORAL, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| LEON ROBERTO | President | 3900 NW 79 AVE., DORAL, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2016-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-07 | 3900 NW 79 AVE., STE 213, DORAL, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-07 | 3900 NW 79 AVE., STE 213, DORAL, FL 33166 | No data |
| Name | Date |
|---|---|
| Amendment | 2016-03-07 |
| Domestic Profit | 2016-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
