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ROYAL BLUE BEHAVIORAL HEALTH INC

Company Details

Entity Name: ROYAL BLUE BEHAVIORAL HEALTH INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 May 2021 (4 years ago)
Document Number: P21000042803
FEI/EIN Number 86-3802057
Address: 1801 SE Hillmoor Dr. Suite C-110, PORT ST LUCIE, FL, 34952, US
Mail Address: 1801 SE Hillmoor Dr. Suite C-110, PORT ST LUCIE, FL, 34952, US
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255160743 2024-07-31 2024-07-31 644 NE LARKSPUR LN, PORT ST LUCIE, FL, 349831231, US 1801 SE HILLMOOR DR STE C-110, PORT ST LUCIE, FL, 349527575, US

Contacts

Phone +1 305-879-0565
Phone +1 772-361-8581

Authorized person

Name MS. NORIALYS FUMERO
Role PRESIDENT
Phone 7273618581

Taxonomy

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

Agent

Name Role Address
FUMERO NORIALYS Agent 7434 S US HWY 1, PORT TS LUCIE, FL, 34952

President

Name Role Address
FUMERO NORIALYS President 7434 S US HWY 1, PORT ST LUCIE, FL, 34952

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-02 1801 SE Hillmoor Dr. Suite C-110, PORT ST LUCIE, FL 34952 No data
CHANGE OF MAILING ADDRESS 2024-08-02 1801 SE Hillmoor Dr. Suite C-110, PORT ST LUCIE, FL 34952 No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-03-24
Domestic Profit 2021-05-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State