| Entity Name: | LAS OLAS COMMUNITY HEALTH CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Dec 2020 (4 years ago) |
| Date of dissolution: | 19 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Apr 2023 (2 years ago) |
| Document Number: | P20000096913 |
| FEI/EIN Number | 854312301 |
| Address: | 4720 SE 15TH AVE, UNIT 215, CAPE CORAL, FL, 33904, US |
| Mail Address: | 4720 SE 15TH AVE, UNIT 215, CAPE CORAL, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356936124 | 2021-03-04 | 2021-03-04 | 4005 NW 114TH AVE UNIT 22, DORAL, FL, 331784373, US | 4005 NW 114TH AVE UNIT 22, DORAL, FL, 331784373, US | |||||||||||||||||||
|
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| Phone | +1 786-614-6736 |
Authorized person
| Name | MRS. ILKA CANCIO-ALONSO |
| Role | AUTHORIZED OFFICIAL |
| Phone | 7866146736 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 2021009669 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CANCIO ALONSO ILKA | Agent | 4720 SE 15TH AVE, CAPE CORAL, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| CANCIO ALONSO ILKA | President | 4720 SE 15TH AVE, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-19 | No data | No data |
| AMENDMENT | 2021-12-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-07 | 4720 SE 15TH AVE, UNIT 215, CAPE CORAL, FL 33904 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-07 | 4720 SE 15TH AVE, UNIT 215, CAPE CORAL, FL 33904 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-07 | 4720 SE 15TH AVE, UNIT 215, CAPE CORAL, FL 33904 | No data |
| AMENDMENT | 2021-08-03 | No data | No data |
| AMENDMENT | 2021-07-06 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-19 |
| ANNUAL REPORT | 2022-04-28 |
| Amendment | 2021-12-07 |
| Amendment | 2021-08-03 |
| Amendment | 2021-07-06 |
| ANNUAL REPORT | 2021-03-12 |
| Domestic Profit | 2020-12-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
