| Entity Name: | BRANDON SLC OPCO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Dec 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000514512 |
| FEI/EIN Number | 92-1264451 |
| Address: | 941 W. MORSE BLVD, SUITE 100, WINTER PARK, FL, 32789 |
| Mail Address: | 941 W. MORSE BLVD, SUITE 100, WINTER PARKL, FL, 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942913157 | 2023-01-03 | 2023-05-15 | 941 W MORSE BLVD STE 100, WINTER PARK, FL, 327893781, US | 3918 S KINGS AVE, BRANDON, FL, 335117749, US | |||||||||||||||||||||||
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| Phone | +1 305-428-2480 |
| Fax | 3054282480 |
| Phone | +1 813-662-1535 |
Authorized person
| Name | MRS. PILAR CARVAJAL |
| Role | MANAGER |
| Phone | 3054282480 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00000000000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARVAJAL EDUARDO | Agent | 941 W. MORSE BLVD, WINTER PARK, FL, 32789 |
| Name | Role |
|---|---|
| ACQUISITIONS SLC HOLDINGS I, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000135882 | THE CLUB AT ALAFIA | ACTIVE | 2023-11-06 | 2028-12-31 | No data | 941 W. MORSE BLVD SUITE 100, WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC NAME CHANGE | 2023-03-13 | BRANDON SLC OPCO LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-28 |
| LC Name Change | 2023-03-13 |
| Florida Limited Liability | 2022-12-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
