| Entity Name: | BAPTIST BEHAVIORAL & CASE MANAGEMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Jun 2021 (4 years ago) |
| Document Number: | P19000061356 |
| FEI/EIN Number | 84-2694620 |
| Address: | 18438 NW 13 St, PEMBROKE PINES, FL, 33029, US |
| Mail Address: | 9140 SW 156 CT, MIAMI, FL, 33196 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508475690 | 2020-07-24 | 2020-07-24 | 6300 NE 2ND AVE STE 2, MIAMI, FL, 331386005, US | 6300 NE 2ND AVE STE 2, MIAMI, FL, 331386005, US | |||||||||||||
|
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| Phone | +1 954-496-1667 |
Authorized person
| Name | MAURICIO LOPEZ |
| Role | VP |
| Phone | 9544966671 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ MAURICIO | Agent | 9140 SW 156 CT, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| LOPEZ MAURICIO | Vice President | 18438 NW 13 ST, PEMBROKE PINES, FL, 33029 |
| OLSON GALLARDO SAMUEL Y | Vice President | 18438 NW 13 ST, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| ARCILA GUSTAVO | President | 18438 NW 13 ST, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-26 | 18438 NW 13 St, PEMBROKE PINES, FL 33029 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-26 | LOPEZ, MAURICIO | No data |
| AMENDMENT | 2021-06-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-29 | 18438 NW 13 St, PEMBROKE PINES, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-06-29 | 9140 SW 156 CT, MIAMI, FL 33196 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-08-05 |
| Amendment | 2021-06-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-25 |
| Domestic Profit | 2019-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
