| Entity Name: | OCEAN BLUE BEHAVIOR THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Apr 2022 (3 years ago) |
| Document Number: | P22000031296 |
| FEI/EIN Number | 88-1756403 |
| Address: | 4515 ASHFORD DR, WINTER HAVEN, FL 33880 |
| Mail Address: | 4515 ASHFORD DR, WINTER HAVEN, FL 33880 |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114790227 | 2023-10-31 | 2023-10-31 | 4515 ASHFORD DR, WINTER HAVEN, FL, 338801148, US | 4515 ASHFORD DR, WINTER HAVEN, FL, 338801148, US | |||||||||||||
|
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| Phone | +1 786-278-8655 |
Authorized person
| Name | MRS. MARIA EUGENIA ACOSTA DOMINGUEZ |
| Role | OWNER |
| Phone | 7862788655 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ACOSTA, MARIA E | Agent | 4515 ASHFORD DR, WINTER HAVEN, FL 33880 |
| Name | Role | Address |
|---|---|---|
| ACOSTA, MARIA E | President | 4515 ASHFORD DR, WINTER HAVEN, FL 33880 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-03-17 |
| Domestic Profit | 2022-04-11 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
