| Entity Name: | LIFE FLUIDS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Dec 1965 (59 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | 299467 |
| FEI/EIN Number | 59-1109238 |
| Mail Address: | 109 FLAGLER LN, WEST PALM BEACH, FL 33407 |
| Address: | 101 N FEDERAL HWY, LAKE WORTH, FL 33460-3435 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386686699 | 2006-06-12 | 2020-08-22 | 101 N FEDERAL HWY, LAKE WORTH, FL, 334603435, US | 101 N FEDERAL HWY, LAKE WORTH, FL, 334603435, US | |||||||||||||||||||||||||
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| Phone | +1 561-585-4679 |
| Fax | 5615888562 |
Authorized person
| Name | KEN M JERKINS |
| Role | PRESIDENT |
| Phone | 5615854679 |
Taxonomy
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | 11721 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP NUMBER |
| Number | 1072468 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JERKINS, KEN M | Agent | 109 FLAGLER LN, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| JERKINS, KEN M | President | 109 FLAGLER LN, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| JERKINS, KEN M | Secretary | 109 FLAGLER LN, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| JERKINS, KEN M | Treasurer | 109 FLAGLER LN, WEST PALM BEACH, FL 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-20 | 101 N FEDERAL HWY, LAKE WORTH, FL 33460-3435 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-20 | 109 FLAGLER LN, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-12 | 101 N FEDERAL HWY, LAKE WORTH, FL 33460-3435 | No data |
| NAME CHANGE AMENDMENT | 1991-08-27 | LIFE FLUIDS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-01-03 |
| ANNUAL REPORT | 2010-03-29 |
| ANNUAL REPORT | 2009-01-14 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-04-27 |
| ANNUAL REPORT | 2006-04-25 |
| ANNUAL REPORT | 2005-03-24 |
| ANNUAL REPORT | 2004-04-09 |
| ANNUAL REPORT | 2003-04-10 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
