| Entity Name: | CARE AMERICA AT MOUNT DORA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Feb 2016 (9 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L16000036618 |
| FEI/EIN Number | 81-1566268 |
| Mail Address: | 253 BELLAGIO CIR, SANFORD, FL 32771 |
| Address: | 3516 Enterprise Way, STE 7, GREEN COVE SPRINGS, FL 32043 |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952854143 | 2016-07-25 | 2016-07-25 | 253 BELLAGIO CIR, SANFORD, FL, 327715001, US | 6909 OLD HIGHWAY 441 S, STE 106, MOUNT DORA, FL, 327577039, US | |||||||||||||||||||
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| Phone | +1 407-865-7020 |
| Fax | 4078657088 |
Authorized person
| Name | MS. LISA WILK |
| Role | VP OPERATIONS |
| Phone | 4078657020 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30096 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Haghgou, Hushang | Agent | 253 BELLAGIO CIR, SANFORD, FL 32771 |
| Name | Role | Address |
|---|---|---|
| HAGHGOU, ROBERT B | Authorized Member | 253 BELLAGIO CIR, SANFORD, FL 32771 |
| HAGHGOU, HUSHANG S | Authorized Member | 253 BELLAGIO CIR, SANFORD, FL 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-01-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-07 | 3516 Enterprise Way, STE 7, GREEN COVE SPRINGS, FL 32043 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-07 | Haghgou, Hushang | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-05-08 |
| AMENDED ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2019-01-07 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-02-22 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
