| Entity Name: | FLORIDA SOUTHERN ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Mar 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L13000035268 |
| FEI/EIN Number | 46-2230930 |
| Address: | 1433 INGLESIDE AVE, JACKSONVILLE, FL, 32205 |
| Mail Address: | 1433 Ingleside Ave, Jacksonville, FL, 32205, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689916546 | 2013-03-19 | 2013-03-19 | 1019 PHYSICIANS DR, CHARLESTON, SC, 294145746, US | 1433 INGLESIDE AVE, JACKSONVILLE, FL, 322057712, US | |||||||||||||||||
|
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| Phone | +1 843-571-5366 |
| Fax | 8435715659 |
| Phone | +1 843-571-5399 |
Authorized person
| Name | STEPHANIE WOODRUFF |
| Role | CEO |
| Phone | 8435715366 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOODRUFF STEPHANIE | Agent | 1433 INGLESIDE AVE, FLEMING ISLAND, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| WOODRUFF STEPHANIE | Regi | Po Box 8246, Fleming Island, FL, 32006 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000047615 | INGLESIDE RETIREMENT HOME | EXPIRED | 2013-05-20 | 2018-12-31 | No data | 1019 PHYSICIANS DRIVE, CHARLESTON, SC, 29414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-11-09 | 1433 INGLESIDE AVE, FLEMING ISLAND, FL 32205 | No data |
| REINSTATEMENT | 2018-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-11-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-15 | 1433 INGLESIDE AVE, JACKSONVILLE, FL 32205 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-15 | WOODRUFF, STEPHANIE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-11-09 |
| REINSTATEMENT | 2017-11-02 |
| REINSTATEMENT | 2016-11-15 |
| ANNUAL REPORT | 2015-03-21 |
| ANNUAL REPORT | 2014-04-28 |
| Florida Limited Liability | 2013-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
