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PACIFICA BG MABRY LLC - Florida Company Profile

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Company Details

Entity Name: PACIFICA BG MABRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Mar 2021 (4 years ago)
Document Number: L21000121964
FEI/EIN Number 86-2806455
Address: 16702 North Dale Mabry Highway, TAMPA, FL, 33618, US
Mail Address: 16702 North Dale Mabry Highway, Tampa, FL, 33618, US
ZIP code: 33618
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Ashok Israni and Lata Israni Family Trust Member 16702 North Dale Mabry Highway, 16702 North Dale Mabry Highw, FL, 33618
Deepak Israni and Varsha Israni Family Tru MEME 16702 North Dale Mabry Highway, 16702 North Dale Mabry Highw, FL, 33618
Sushil M. Israni and Reena S. Israni Revoc Member 16702 North Dale Mabry Highway, Tampa, FL, 33618
- Agent -
ISRANI DEEPAK Manager 16702 North Dale Mabry Highway, Tampa, FL, 33618

National Provider Identifier

NPI Number:
1831819523
Certification Date:
2022-09-01

Authorized Person:

Name:
DEEPAK ISRANI
Role:
GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
311500000X - Alzheimer Center (Dementia Center)
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
6192969090
Fax:
8139083528

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000064464 TAMPA GARDENS SENIOR LIVING ACTIVE 2021-05-11 2026-12-31 - 1775 HANCOCK ST STE 200, SAN DIEGO, CA, 92110

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-31 16702 North Dale Mabry Highway, TAMPA, FL 33618 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-27
Florida Limited Liability 2021-03-24

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Date of last update: 02 Aug 2025

Sources: Florida Department of State