| Entity Name: | ARBOR COVE ALF OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jun 2008 (17 years ago) |
| Document Number: | P08000056404 |
| FEI/EIN Number | 262759251 |
| Address: | 305 N HIAWASSEE RD, ORLANDO, FL, 32835 |
| Mail Address: | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336581388 | 2013-07-18 | 2013-07-18 | 849 WOOD BRIAR LOOP, SANFORD, FL, 327715434, US | 305 N HIAWASSEE RD, ORLANDO, FL, 328351016, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-322-8226 |
| Fax | 4073228226 |
| Phone | +1 407-294-3762 |
Authorized person
| Name | JONATHAN M DUAZO |
| Role | VP / TREASURER |
| Phone | 4072943762 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9443 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE NUMBER |
| Number | AL9443 |
| State | FL |
| Issuer | MEDICAID |
| Number | 002579700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUAZO JONATHAN M | Agent | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| DUAZO ELIZABETH P | President | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| DUAZO ELIZABETH P | Secretary | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| DUAZO JONATHAN M | Vice President | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000038734 | ARBOR COVE ALF | ACTIVE | 2019-03-25 | 2029-12-31 | No data | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-06 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
