| Entity Name: | SKILLFUL LIVING, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Oct 1999 (25 years ago) |
| Date of dissolution: | 09 Mar 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Mar 2016 (9 years ago) |
| Document Number: | P99000091137 |
| FEI/EIN Number | 650950916 |
| Address: | 1031 IVES DAIRY RD, #228, MIAMI, FL, 33179 |
| Mail Address: | P.O BOX 297215, PEMBROKE PINES, FL, 33029 |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912118050 | 2007-05-24 | 2011-02-23 | PO BOX 297215, PEMBROKE PINES, FL, 330297215, US | 1031 IVES DAIRY RD, SUITE 236, MIAMI, FL, 331792538, US | |||||||||||||||||||||||||||
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| Phone | +1 954-322-8898 |
| Fax | 9544305950 |
| Phone | +1 305-914-5679 |
Authorized person
| Name | MAUDE SILVER |
| Role | DIRECTOR OF SERVICES |
| Phone | 9543228898 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MT1770 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 683497396 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SILVER MAUDE R | Agent | 1031 IVES DAIRY RD, MIAMI, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| SILVER MAUDE | President | P.O BOX 297215, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| GUZMAN DORA | ADVI | 1600 W 65 STREET, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-09 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-15 | 1031 IVES DAIRY RD, #228, MIAMI, FL 33179 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-18 | 1031 IVES DAIRY RD, #228, MIAMI, FL 33179 | No data |
| CANCEL ADM DISS/REV | 2010-04-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-25 | 1031 IVES DAIRY RD, #228, MIAMI, FL 33179 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2006-04-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-09 |
| ANNUAL REPORT | 2015-04-15 |
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-04-15 |
| ANNUAL REPORT | 2011-03-18 |
| REINSTATEMENT | 2010-04-25 |
| ANNUAL REPORT | 2008-04-10 |
| ANNUAL REPORT | 2007-03-23 |
| REINSTATEMENT | 2006-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
