| Entity Name: | PALLISER ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Apr 2016 (9 years ago) |
| Date of dissolution: | 08 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jun 2020 (5 years ago) |
| Document Number: | L16000081707 |
| FEI/EIN Number | 812469095 |
| Address: | 9536 OLD PINE ROAD, BOCA RATON, FL, 33428, US |
| Mail Address: | 1200 West Avenue, Apt 625, Miami Beach, FL, 33139, US |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154805802 | 2018-09-19 | 2018-09-19 | 9536 OLD PINE RD, BOCA RATON, FL, 334283056, US | 9536 OLD PINE RD, BOCA RATON, FL, 334283056, US | |||||||||||||||
|
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| Phone | +1 954-682-1985 |
| Fax | 7544844321 |
Authorized person
| Name | GABRIELA JANETA ROMAN |
| Role | ADMINISTRATOR |
| Phone | 9546821985 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ SAIDIN M | Agent | 8725 N.W. 18 TERRRACE, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| MITCHELL DAVIS | Manager | 1200 WEST AVENUE, APT. 625, MIAMI BEACH, FL, 33139 |
| ZAVIK DAVID | Manager | 1200 WEST AVENUE, APT. 625, MIAMI BEACH, FL, 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-22 | 9536 OLD PINE ROAD, BOCA RATON, FL 33428 | No data |
| LC NAME CHANGE | 2016-06-01 | PALLISER ASSISTED LIVING LLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-08 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-12 |
| LC Name Change | 2016-06-01 |
| Florida Limited Liability | 2016-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
