| Entity Name: | BAYCARE BEHAVIORAL HEALTH CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Apr 1995 (30 years ago) |
| Document Number: | P95000033262 |
| FEI/EIN Number | 593311295 |
| Address: | 1300 N. WESTSHORE BLVD., STE 100, TAMPA, FL, 33607, US |
| Mail Address: | 1300 N. WESTSHORE BLVD., STE 100, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417168204 | 2007-05-24 | 2020-08-22 | PO BOX 23788, TAMPA, FL, 336233788, US | 1831 N BELCHER RD, CLEARWATER, FL, 337651449, US | |||||||||||||||||||||
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| Phone | +1 800-750-8103 |
| Fax | 8667880863 |
Authorized person
| Name | BOBBY L COATES |
| Role | PRESIDENT |
| Phone | 7274035221 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP |
| Number | KO333 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE LAW OFFICES OF CHRISTOPHER P. CALKIN, | Agent | 1715 N. WESTSHORE BLVD., STE 918, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| COATES BOBBY L | Director | 1300 W WESTSHORE BLVD., STE 100, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| COATES BOBBY L | President | 1300 W WESTSHORE BLVD., STE 100, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| PENDING REINSTATEMENT | 2010-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
