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PHOENIX SENIOR LIVING II, INC.

Company Details

Entity Name: PHOENIX SENIOR LIVING II, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Jan 2005 (20 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P05000005882
FEI/EIN Number 571216540
Mail Address: 10020 NW 50 MNR, Coral Springs, FL, 33076, US
Address: 5882 NW 73rd court, Parkland, FL, 33067, US
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881825206 2009-08-03 2009-08-03 5882 NW 73RD CT, PARKLAND, FL, 330672442, US 5882 NW 73RD CT, PARKLAND, FL, 330672442, US

Contacts

Phone +1 954-682-1985

Authorized person

Name GABRIELA JANETA ROMAN
Role ADMINISTRATOR
Phone 9546821985

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL10598
State FL
Is Primary Yes

Agent

Name Role Address
Roman Gabriela Agent 10020 NW 50 MNR, Coral Springs, FL, 33076

President

Name Role Address
roman gabriela j President 10020 NW 50 MNR, Coral Springs, FL, 33076

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2022-04-29 5882 NW 73rd court, Parkland, FL 33067 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 10020 NW 50 MNR, Coral Springs, FL 33076 No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-28 5882 NW 73rd court, Parkland, FL 33067 No data
REGISTERED AGENT NAME CHANGED 2018-04-22 Roman, Gabriela No data

Documents

Name Date
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-04-22
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-02-24
ANNUAL REPORT 2015-02-12
ANNUAL REPORT 2014-03-13
ANNUAL REPORT 2013-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State