Search icon

ELITE BEHAVIORAL, INC .

Company Details

Entity Name: ELITE BEHAVIORAL, INC .
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 27 Jul 2018 (6 years ago)
Date of dissolution: 21 Jun 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Jun 2022 (3 years ago)
Document Number: P18000065061
FEI/EIN Number 83-1330827
Address: 3253 W 100TH TER, HIALEAH, FL 33018
Mail Address: 3253 W 100TH TER, HIALEAH, FL 33018
ZIP code: 33018
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821577206 2018-08-07 2019-06-18 8074 NW 103RD ST STE 2, HIALEAH GARDENS, FL, 330162256, US 8074 NW 103RD ST STE 2, HIALEAH GARDENS, FL, 330162256, US

Contacts

Phone +1 305-209-4190
Fax 3055084302

Authorized person

Name RAUL LUZARDO
Role PRESIDENT/OWNER
Phone 3052094190

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
LUZARDO, RAUL Agent 3253 W 100TH TER, HIALEAH, FL 33018

Chief Executive Officer

Name Role Address
LUZARDO, RAUL Chief Executive Officer 3253 W 100TH TER, HIALEAH, FL 33018

President

Name Role Address
LUZARDO, RAUL President 3253 W 100TH TER, HIALEAH, FL 33018

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-06-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-09 3253 W 100TH TER, HIALEAH, FL 33018 No data
CHANGE OF MAILING ADDRESS 2022-02-09 3253 W 100TH TER, HIALEAH, FL 33018 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-09 3253 W 100TH TER, HIALEAH, FL 33018 No data
REGISTERED AGENT NAME CHANGED 2019-02-10 LUZARDO, RAUL No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-06-21
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-10
Domestic Profit 2018-07-27

Date of last update: 17 Jan 2025

Sources: Florida Department of State