| Entity Name: | MEDICAL ALLIED NURSING ACADEMY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Mar 2013 (12 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: | P13000025575 |
| FEI/EIN Number | 46-2316736 |
| Address: | 4100 RECKER HWY, WINTER HAVEN, FL 33880 |
| Mail Address: | 3969 AQUILLA DR, LAKELAND, FL 33810 |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366983140 | 2017-03-14 | 2017-03-14 | 928 SPRING LAKE SQ, WINTER HAVEN, FL, 338811352, US | 750 PLAZA ORANGE BLOSSOM TRAIL, SUITE 264, ORLANDO, FL, 32805, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-440-8696 |
| Fax | 4074408696 |
Authorized person
| Name | KATHIANA ANN BAZILE |
| Role | PRESIDENT /ADMINISTRATOR |
| Phone | 4074408696 |
Taxonomy
| Taxonomy Code | 311Z00000X - Custodial Care Facility |
| License Number | NR 12345 |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 31400000X |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| License Number | P13000025575 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Kathiana Ann Bazile | Agent | 3969 Aquila Dr., Lakeland, FL 33810 |
| Name | Role | Address |
|---|---|---|
| Jean, Dikenel | President | 3969 AQUILLA DR, LAKELAND, FL 33810 |
| Name | Role | Address |
|---|---|---|
| Bazile, Kerven | Vice President | 3969 Aquilla Dr., Lakeland, FL 33810 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000109969 | MANA ACADEMY OF NURSING | EXPIRED | 2019-10-08 | 2024-12-31 | No data | 3969 AQUILLA DRIVE, LAKELAND, FL, 33810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-01-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 3969 Aquila Dr., Lakeland, FL 33810 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 4100 RECKER HWY, WINTER HAVEN, FL 33880 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 4100 RECKER HWY, WINTER HAVEN, FL 33880 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-29 | Kathiana Ann Bazile | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J25000032362 | ACTIVE | 1000001025743 | POLK | 2025-01-13 | 2035-01-15 | $ 2,454.33 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J22000009920 | ACTIVE | 1000000911931 | POLK | 2021-12-28 | 2032-01-05 | $ 1,490.34 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J21000153936 | ACTIVE | 1000000882107 | ORANGE | 2021-03-30 | 2031-04-07 | $ 1,016.98 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J19000800654 | ACTIVE | 1000000847576 | ORANGE | 2019-11-15 | 2029-12-11 | $ 430.78 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644 |
| J14000486059 | TERMINATED | 1000000600636 | ORANGE | 2014-03-24 | 2024-05-01 | $ 528.42 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2022-01-24 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-30 |
| Domestic Profit | 2013-03-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6482988001 | 2020-06-30 | 0455 | PPP | 928 SPRING LAKE SQ, WINTER HAVEN, FL, 33881-1352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
