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MCCI/LIFETIME OF AVENTURA, LLC - Florida Company Profile

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Company Details

Entity Name: MCCI/LIFETIME OF AVENTURA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 08 Feb 2012 (13 years ago)
Date of dissolution: 30 Jul 2020 (5 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 30 Jul 2020 (5 years ago)
Document Number: L12000019064
FEI/EIN Number 45-4493313
Address: 6101 Blue Lagoon Drive, Suite 400, Miami, FL, 33126, US
Mail Address: 6101 Blue Lagoon Drive, Suite 400, Miami, FL, 33126, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
BAILEY ALAN J Vice President 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
KANE BRIAN A Chief Financial Officer 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
BROUSSARD BRUCE D Director 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
ROBINSON HANK Seni 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
Buckingham Renee J Director 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
Edwards Douglas J Vice President 500 WEST MAIN STREET, LOUISVILLE, KY, 40202

National Provider Identifier

NPI Number:
1437422284
Certification Date:
2020-02-03

Authorized Person:

Name:
GEMMA ROSELLO
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3059310939

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000088041 CONVIVA CARE CENTER EXPIRED 2018-08-08 2023-12-31 - 500 WEST MAIN STREET, C/O CORPORATE SECRETARY, LOUISVILLE, KY, 40202

Events

Event Type Filed Date Value Description
MERGER 2020-07-30 - CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS M06000006401. MERGER NUMBER 500000205145
CHANGE OF PRINCIPAL ADDRESS 2020-01-02 6101 Blue Lagoon Drive, Suite 400, Miami, FL 33126 -
CHANGE OF MAILING ADDRESS 2020-01-02 6101 Blue Lagoon Drive, Suite 400, Miami, FL 33126 -
REGISTERED AGENT NAME CHANGED 2018-04-27 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2018-04-27 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -

Documents

Name Date
ANNUAL REPORT 2020-01-02
AMENDED ANNUAL REPORT 2019-10-22
AMENDED ANNUAL REPORT 2019-09-23
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-03-20
ANNUAL REPORT 2013-03-17

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Date of last update: 02 Jul 2025

Sources: Florida Department of State