| Entity Name: | FIVE STAR HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Oct 2016 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000192089 |
| FEI/EIN Number | 81-4203858 |
| Address: | 535 WOODLOW ROAD, NICEVILLE, FL 32578 |
| Mail Address: | PO BOX 212, NICEVILLE, FL 32588 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720513856 | 2017-04-26 | 2017-04-26 | 535 WOODLOW RD, NICEVILLE, FL, 325782129, US | 535 WOODLOW RD, NICEVILLE, FL, 325782129, US | |||||||||||||
|
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| Phone | +1 202-427-5554 |
Authorized person
| Name | SUNDAY LAIRD |
| Role | PHYSICIAN ASSISTANT |
| Phone | 2024275557 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAIRD, SUNDAY N | Agent | 535 WOODLOW ROAD, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| LAIRD, SUNDAY N | Authorized Member | PO BOX 212, NICEVILLE, FL 32588 |
| LAIRD, GLENN L | Authorized Member | PO BOX 212, NICEVILLE, FL 32588 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC AMENDMENT | 2017-08-14 | No data | No data |
| LC AMENDMENT | 2017-04-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-27 | 535 WOODLOW ROAD, NICEVILLE, FL 32578 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2017-08-14 |
| LC Amendment | 2017-04-27 |
| ANNUAL REPORT | 2017-03-25 |
| Florida Limited Liability | 2016-10-18 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
