| Entity Name: | CORNERSTONE PACE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Oct 2016 (8 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: | L16000187922 |
| FEI/EIN Number | 81-3788661 |
| Address: | 2445 LANE PARK ROAD, TAVARES, FL, 32778, US |
| Mail Address: | 2445 LANE PARK ROAD, TAVARES, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518401017 | 2016-12-19 | 2016-12-19 | 2445 LANE PARK RD, TAVARES, FL, 327789648, US | 5601 S ORANGE AVE, SUITE 5665, ORLANDO, FL, 328094229, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 888-728-6234 |
Authorized person
| Name | STEPHANIE SCARBROUGH |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3527426777 |
Taxonomy
| Taxonomy Code | 251T00000X - PACE Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Acuff Karl DEsq. | Agent | 1615 Village Square Boulevard, Tallahassee, FL, 323092770 |
| Name | Role | Address |
|---|---|---|
| Lee Charles O | Manager | 2445 LANE PARK ROAD, TAVARES, FL, 32778 |
| Name | Role |
|---|---|
| CORNERSTONE HEALTH SERVICES, INC. | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-01 | Acuff, Karl D, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-01 | 1615 Village Square Boulevard, Suite 2, Tallahassee, FL 32309-2770 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-07 |
| AMENDED ANNUAL REPORT | 2019-10-09 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-02-13 |
| Florida Limited Liability | 2016-10-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
