| Entity Name: | FLORIDAS TREATMENT CENTER CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Oct 2023 (a year ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Oct 2023 (a year ago) |
| Document Number: | P23000070435 |
| FEI/EIN Number | 93-3718586 |
| Address: | 4850 west Oakland park blvd, suite 102, Lauderdale lakes, FL 33313 |
| Mail Address: | 4850 west Oakland park blvd, suite 102, Lauderdale lakes, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114771797 | 2024-04-11 | 2024-04-11 | 4850 W OAKLAND PARK BLVD STE 102, LAUDERDALE LAKES, FL, 333137268, US | 4850 W OAKLAND PARK BLVD STE 102, LAUDERDALE LAKES, FL, 333137268, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-380-0714 |
| Fax | 8779775142 |
Authorized person
| Name | MRS. MONIQUE MARTIN |
| Role | CREDENTIALING MANAGER |
| Phone | 5617276196 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN, DAVID | Agent | 4850 west Oakland park blvd, Suite 102, Lauderdale lakes, FL 33313 |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN, DAVID PAUL | President | 4850 west Oakland park blvd, Suite 102 Lauderdale lakes, FL 33313 |
| Name | Role | Address |
|---|---|---|
| ZIMMERMAN, DAVID PAUL | Chief Executive Officer | 4850 west Oakland park blvd, Suite 102 Lauderdale lakes, FL 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-04 | 4850 west Oakland park blvd, Suite 102, Lauderdale lakes, FL 33313 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-28 | 4850 west Oakland park blvd, suite 102, Lauderdale lakes, FL 33313 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-28 | 4850 west Oakland park blvd, suite 102, Lauderdale lakes, FL 33313 | No data |
| AMENDMENT | 2023-10-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-04-04 |
| Amendment | 2023-10-16 |
| Domestic Profit | 2023-10-02 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
