| Entity Name: | CENTURION HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Sep 2014 (10 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L14000143498 |
| Address: | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| Mail Address: | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386197754 | 2016-08-02 | 2016-08-08 | 5401 S KIRKMAN RD, SUITE 324, ORLANDO, FL, 328197940, US | 5401 S KIRKMAN RD, SUITE 324, ORLANDO, FL, 328197940, US | |||||||||||||||
|
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| Phone | +1 407-536-4444 |
| Fax | 8447916090 |
Authorized person
| Name | TONI LYNNE SEXTON |
| Role | AMGR |
| Phone | 7273288308 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POLNER BRIAN MD | Agent | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| POLNER BRIAN MD | Manager | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| HARKINS JOHN | Manager | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| REYES RENE MD | Manager | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| STONE CHARLES MD | Manager | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| GREENSTEIN MARC MD | Manager | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| FABREGAS HECTOR MD | Manager | 2905 NORTH COMMERCE PARKWAY, MIRAMAR, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2014-09-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
