| Entity Name: | BALMY BEACH ALF OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Oct 2013 (11 years ago) |
| Document Number: | P13000085437 |
| FEI/EIN Number | 46-3876018 |
| Address: | 1030 BALMY BEACH DR, APOPKA, FL, 32703 |
| Mail Address: | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083030522 | 2014-03-07 | 2014-03-07 | 849 WOOD BRIAR LOOP, SANFORD, FL, 327715434, US | 1030 BALMY BEACH DR, APOPKA, FL, 327035902, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-405-1047 |
| Fax | 4073228226 |
Authorized person
| Name | JONATHAN M. DUAZO |
| Role | VICE PRESIDENT |
| Phone | 40734051047 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL8705 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | AL8705 |
| 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 |
| Name | Role | Address |
|---|---|---|
| DUAZO JONATHAN M | Treasurer | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000023967 | PANORAMA LIVING | ACTIVE | 2015-03-05 | 2025-12-31 | No data | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| G14000056037 | OUR HOME ALF | EXPIRED | 2014-06-09 | 2019-12-31 | No data | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| G14000048642 | A HOME OF OUR OWN | EXPIRED | 2014-05-16 | 2019-12-31 | No data | 849 WOOD BRIAR LOOP, SANFORD, FL, 32771 |
| G13000106259 | BALMY BEACH RETIREMENT HOME | EXPIRED | 2013-10-29 | 2018-12-31 | 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 | 2020-01-15 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-06 |
| AMENDED ANNUAL REPORT | 2015-07-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
