| Entity Name: | CORAL VILLA II CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Feb 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Feb 2019 (6 years ago) |
| Document Number: | P04000035915 |
| FEI/EIN Number | 800102138 |
| Address: | 14213 SW 100 LN, MIAMI, FL, 33186 |
| Mail Address: | 14213 SW 100 LN, MIAMI, FL, 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578774295 | 2007-05-24 | 2023-03-15 | 14213 SW 100TH LN, MIAMI, FL, 331866960, US | 14213 SW 100TH LN, MIAMI, FL, 331866960, US | |||||||||||||||||||||||||
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| Phone | +1 305-380-8084 |
| Fax | 3052521699 |
Authorized person
| Name | MARCOS VALDEZ |
| Role | OWNER |
| Phone | 7869725612 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10464 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142178600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDES MARCOS | Agent | 14213 SW 100 LN, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| Valdes Marcos | President | 14213 SW 100 LN, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-02-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-09 | VALDES, MARCOS | No data |
| AMENDMENT | 2018-01-11 | No data | No data |
| AMENDMENT | 2017-06-08 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-10-13 | 14213 SW 100 LN, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| AMENDED ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-22 |
| Amendment | 2019-02-08 |
| ANNUAL REPORT | 2018-04-09 |
| Amendment | 2018-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
