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ADVANCE MENTAL CARE CENTER , INC

Company Details

Entity Name: ADVANCE MENTAL CARE CENTER , INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Feb 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P20000016967
FEI/EIN Number 85-1116115
Address: 2701 WEST OAKLAND PARK BLVD, #205B, OAKLAND PARK, FL, 33311, US
Mail Address: 2701 WEST OAKLAND PARK BLVD, #205B, OAKLAND PARK, FL, 33311, US
ZIP code: 33311
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528682069 2020-06-01 2020-06-01 12240 NW 7TH TRL, MIAMI, FL, 331822408, US 12240 NW 7TH TRL, MIAMI, FL, 331822408, US

Contacts

Phone +1 786-334-7536

Authorized person

Name DENIA LAZO SANTALLA
Role PRESIDENT
Phone 7862270804

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
LAZO SANTALLA DENIA Agent 2701 WEST OAKLAND PARK BLVD, OAKLAND PARK, FL, 33311

President

Name Role Address
LAZO SANTALLA DENIA President 2701 WEST OAKLAND PARK BLVD, OAKLAND PARK, FL, 33311

Vice President

Name Role Address
ENRIQUEZ JANET Vice President 2701 WEST OAKLAND PARK BLVD, OAKLAND PARK, FL, 33311

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
AMENDMENT 2020-06-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-09 2701 WEST OAKLAND PARK BLVD, #205B, OAKLAND PARK, FL 33311 No data
CHANGE OF MAILING ADDRESS 2020-06-09 2701 WEST OAKLAND PARK BLVD, #205B, OAKLAND PARK, FL 33311 No data

Documents

Name Date
ANNUAL REPORT 2021-04-29
Amendment 2020-06-09
Domestic Profit 2020-02-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State