| Entity Name: | PROCARE4LIFE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Jun 2021 (4 years ago) |
| Date of dissolution: | 20 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Jan 2022 (3 years ago) |
| Document Number: | L21000263190 |
| Address: | 121 VILLAVISTA CT, DAVENPORT, FL, 33896, US |
| Mail Address: | 121 VILLAVISTA CT, DAVENPORT, FL, 33896, US |
| ZIP code: | 33896 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417629742 | 2021-10-05 | 2021-10-05 | 121 VILLAVISTA CT, DAVENPORT, FL, 338968638, US | 121 VILLAVISTA CT, DAVENPORT, FL, 338968638, US | |||||||||||||||||||
|
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| Phone | +1 813-458-5371 |
| Fax | 8885220011 |
Authorized person
| Name | BRENDA B COGHIEL |
| Role | OWNER |
| Phone | 8134585371 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COGHIEL BRENDA BMS | Agent | 4342 HAR PAUL CIRCLE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| COGHIEL BRENDA B | Chief Executive Officer | 4342 HAR PAUL CIRCLE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| APONTE YARITZA | Manager | 121 VILLAVISTA CT, DAVENPORT, FL, 33896 |
| Name | Role | Address |
|---|---|---|
| HARPER CECIL A | Authorized Person | 1013 NORTH THACKER AVE, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-20 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-20 |
| Florida Limited Liability | 2021-06-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
