| Entity Name: | PHOENIX ADVANCED, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Apr 1997 (28 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P97000031606 |
| FEI/EIN Number | 593450285 |
| Address: | 862 SHELLBARK WAY, LADY LAKE, FL, 32162 |
| Mail Address: | 862 SHELLBARK WAY, LADY LAKE, FL, 32162 |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053488684 | 2006-11-29 | 2020-08-22 | 35915 US HWY 27, SUITE 2B, HAINES CITY, FL, 338443737, US | 35915 US HWY 27, SUITE 2B, HAINES CITY, FL, 338443737, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 863-422-8338 |
| Fax | 8634225268 |
Authorized person
| Name | DR. JAMES P COSTELLO |
| Role | PRESIDENT |
| Phone | 3524081400 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COSTELLO JAMES P | Agent | 862 SHELLBARK WAY, THE VILLAGES, FL, 32162 |
| Name | Role | Address |
|---|---|---|
| COSTELLO JAMES P | President | 862 SHELLBARK WAY, THE VILLAGES, FL, 32162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-18 | 862 SHELLBARK WAY, LADY LAKE, FL 32162 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-18 | 862 SHELLBARK WAY, LADY LAKE, FL 32162 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-18 | COSTELLO, JAMES P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-18 | 862 SHELLBARK WAY, THE VILLAGES, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-14 |
| ANNUAL REPORT | 2012-03-31 |
| ANNUAL REPORT | 2011-03-29 |
| ANNUAL REPORT | 2010-04-11 |
| ANNUAL REPORT | 2009-04-08 |
| ANNUAL REPORT | 2008-04-18 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-05-22 |
| ANNUAL REPORT | 2005-04-22 |
| ANNUAL REPORT | 2004-05-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
