| Entity Name: | PEGASUS BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 May 2017 (8 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: | P17000043796 |
| FEI/EIN Number | 82-1573651 |
| Address: | 9935 Palomino Dr., Lake Worth, FL 33467 |
| Mail Address: | 9935 Palomino Dr., Lake Worth, FL 33467 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932638541 | 2017-06-07 | 2022-07-21 | 9935 PALOMINO DR, LAKE WORTH, FL, 334671014, US | 9935 PALOMINO DR, LAKE WORTH, FL, 334671014, US | |||||||||||||||||||||||
|
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| Phone | +1 954-696-1121 |
| Fax | 9543573624 |
| Phone | +1 561-370-3867 |
| Fax | 5618285902 |
Authorized person
| Name | JULIE CROCCO |
| Role | ADMINISTRATION |
| Phone | 9546961121 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rizzo, Beatrice | Agent | 9935 Palomino Dr., Lake Worth, FL 33467 |
| Name | Role | Address |
|---|---|---|
| Rizzo, Beatrice | Chief Executive Officer | 9935 Palomino Dr., Lake Worth, FL 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000066463 | SKY HEALTH CENTER | EXPIRED | 2017-06-16 | 2022-12-31 | No data | 9935 PALOMINO DR., LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-19 | 9935 Palomino Dr., Lake Worth, FL 33467 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-06-19 | Rizzo, Beatrice | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-06-19 | 9935 Palomino Dr., Lake Worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-19 | 9935 Palomino Dr., Lake Worth, FL 33467 | No data |
| AMENDMENT | 2017-10-16 | No data | No data |
| AMENDMENT | 2017-06-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-06-19 |
| Amendment | 2017-10-16 |
| Amendment | 2017-06-29 |
| Domestic Profit | 2017-05-15 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
