| Entity Name: | OCEANSIDE LUXURY CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Nov 2004 (20 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | L04000081459 |
| FEI/EIN Number | 593788639 |
| Address: | 10873 S. OCEAN DRIVE, JENSEN BEACH, FL, 34957 |
| Mail Address: | 10873 S. OCEAN DRIVE, JENSEN BEACH, FL, 34957 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487794681 | 2007-02-07 | 2008-01-07 | 2012 JACARANDA AVE, FORT PIERCE, FL, 349493326, US | 2012 JACARANDA AVE, FORT PIERCE, FL, 349493326, US | |||||||||||||||||||||||||||||
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| Phone | +1 772-216-1871 |
Authorized person
| Name | JOHN R HAYES |
| Role | CEO |
| Phone | 7722161871 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME46941 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE NUMBER |
| Number | ME46941 |
| State | FL |
| Issuer | PROVIDER NUMBER |
| Number | 44200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAYES CAROLYN W | Agent | 2012 JACARANDA AVENUE, FORT PIERCE, FL, 34949 |
| Name | Role | Address |
|---|---|---|
| HAYES CAROLYN W | Manager | 10873 S. OCEAN DRIVE, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-11 | HAYES, CAROLYN WMBA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-11 | 2012 JACARANDA AVENUE, HUTCHINSON ISLAND, FORT PIERCE, FL 34949 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-04-11 |
| Florida Limited Liabilites | 2004-11-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
