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REVOLUTION RECOVERY CENTER INC

Company Details

Entity Name: REVOLUTION RECOVERY CENTER INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Feb 2024 (a year ago)
Last Event: AMENDMENT
Event Date Filed: 28 Feb 2024 (a year ago)
Document Number: P24000012687
FEI/EIN Number 99-1463711
Address: 1111 HYPOLUXO RD, STE 207, LANTANA, FL 33462
Mail Address: 1111 HYPOLUXO RD, STE 207, LANTANA, FL 33462
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205686284 2024-03-25 2024-03-25 1111 HYPOLUXO RD STE 207, LANTANA, FL, 334624271, US 415 S FEDERAL HWY, BOYNTON BEACH, FL, 334354931, US

Contacts

Phone +1 215-896-7859

Authorized person

Name ANTHONY MARTINO
Role CEO
Phone 2158967859

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
FALATOVICH, JOSHUA A Agent 1111 HYPOLUXO RD, STE 207, LANTANA, FL 33462

President

Name Role Address
FALATOVICH, JOSHUA A President 1111 HYPOLUXO RD SUITE 207, LANTANA, FL 33462

Vice President

Name Role Address
AIELLO, NICHOLAS M Vice President 1111 HYPOLUXO RD SUITE 207, LANTANAA, FL 33462

Member

Name Role Address
BEZALEL, DUSTIN Member 1111 HYPOLUXO RD, SUITE 207 LANTANA, FL 33462
MARTINO, ANTHONY Member 1111 HYPOLUXO RD, SUITE 207 LANTANA, FL 33462

Events

Event Type Filed Date Value Description
AMENDMENT 2024-02-28 No data No data

Documents

Name Date
Amendment 2024-02-28
Domestic Profit 2024-02-16

Date of last update: 08 Jan 2025

Sources: Florida Department of State