| Entity Name: | PHOENIX SENIOR LIVING III, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Mar 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Sep 2019 (5 years ago) |
| Document Number: | P05000041632 |
| FEI/EIN Number | 710981191 |
| Address: | 460 Jefferson Drive #202, Deerfield Beach, FL, 33442, US |
| Mail Address: | 460 Jefferson Drive #202, Deerfield Beach, FL, 33442, US |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114158532 | 2009-08-03 | 2009-08-03 | 10020 NW 50TH MNR, CORAL SPRINGS, FL, 330762419, US | 10020 NW 50TH MNR, CORAL SPRINGS, FL, 330762419, US | |||||||||||||||||
|
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| Phone | +1 954-682-1985 |
Authorized person
| Name | GABRIELA JANETA ROMAN |
| Role | ADMINISTRATOR |
| Phone | 9546821985 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10637 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SZABO CHRISTOPHER E | Agent | 10020 NW 50 MNR, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| roman gabriela j | President | 10020 NW 50 MNR, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| roman gabriela j | Vice President | 10020 NW 50 MNR, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| roman gabriela j | Secretary | 10020 NW 50 MNR, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| roman gabriela j | Treasurer | 10020 NW 50 MNR, Coral Springs, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-11 | 460 Jefferson Drive #202, Deerfield Beach, FL 33442 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-11 | 460 Jefferson Drive #202, Deerfield Beach, FL 33442 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 10020 NW 50 MNR, Coral Springs, FL 33076 | No data |
| AMENDMENT | 2019-09-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-03 | SZABO, CHRISTOPHER E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| Amendment | 2019-09-03 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
