| Entity Name: | PROVIDOR ASSISTED LIVING FACILITY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Dec 2022 (2 years ago) |
| Document Number: | L22000514802 |
| FEI/EIN Number | 92-1293868 |
| Address: | 15840 BUNCHE PARK SCHOOL DR, MIAMI GARDENS, FL, 33054, US |
| Mail Address: | PO Box 552639, MIAMI GARDENS, FL, 33055, US |
| ZIP code: | 33054 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| DOLCINE FABIOLA | Agent | 15840 BUNCHE PARK SCHOOL DR, MIAMI GARDENS, FL, 33054 |
| Name | Role | Address |
|---|---|---|
| FABIOLA DOLCINE | Manager | 15840 BUNCHE PARK SCHOOL DR, MIAMI GARDENS, FL, 33054 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-27 | 15840 BUNCHE PARK SCHOOL DR, MIAMI GARDENS, FL 33054 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-27 | 15840 BUNCHE PARK SCHOOL DR, MIAMI GARDENS, FL 33054 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-27 | 15840 BUNCHE PARK SCHOOL DR, MIAMI GARDENS, FL 33054 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-06-27 |
| Florida Limited Liability | 2022-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
