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