| Entity Name: | LIZMARY SENIOR CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 May 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P07000054731 |
| FEI/EIN Number | 260183874 |
| Address: | 16671 SW 52 LN, MIAMI, FL, 33175 |
| Mail Address: | 16671 SW 52 LN, MIAMI, FL, 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538321559 | 2008-06-30 | 2008-07-17 | 16671 SW 52ND LN, MIAMI, FL, 331855274, US | 16671 SW 52ND LN, MIAMI, FL, 331855274, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 305-228-0972 |
| Fax | 3052280972 |
Authorized person
| Name | CARLOS LUIS TALAVERA |
| Role | PRESIDENT |
| Phone | 3052280972 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14033422 |
| State | FL |
| Issuer | MEDICAID |
| Number | 14005980 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| QUEVEDO IDALMYS | Agent | 16671 SW 52 LN, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| TALAVERA MARIA | Vice President | 16671 SW 52 LN, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| TALAVERA CARLOS | President | 16671 SW 52 LN, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| QUEVEDO IDALMYS | Treasurer | 16671 SW 52 LN, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT | 2009-03-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-06 | QUEVEDO, IDALMYS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-25 | 16671 SW 52 LN, MIAMI, FL 33175 | No data |
| CANCEL ADM DISS/REV | 2009-02-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2010-10-08 |
| Amendment | 2009-03-06 |
| CORAPREIWP | 2009-02-25 |
| Domestic Profit | 2007-05-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
