| Entity Name: | LIFESTORE MEDICAL SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LIFESTORE MEDICAL SUPPLY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Nov 2010 (14 years ago) |
| Date of dissolution: | 26 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (11 years ago) |
| Document Number: | L10000116126 |
| FEI/EIN Number |
274037756
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5255 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487 |
| Mail Address: | 5255 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245532191 | 2010-11-29 | 2010-11-29 | 5255 N FEDERAL HWY, BOCA RATON, FL, 334874901, US | 5255 N FEDERAL HWY, BOCA RATON, FL, 334874901, US | |||||||||||||||
|
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| Phone | +1 561-953-1200 |
| Fax | 5612416160 |
Authorized person
| Name | MR. BRUCE GODWIN |
| Role | MMBR |
| Phone | 5619531200 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GODWIN BRUCE | Managing Member | 5255 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487 |
| ENDRES JUDE | Managing Member | 5255 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487 |
| GOODYEAR ANDREW T | Managing Member | 5255 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487 |
| GODWIN BRUCE | Agent | 5255 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| LC AMENDMENT | 2011-03-07 | - | - |
| LC NAME CHANGE | 2010-11-29 | LIFESTORE MEDICAL SUPPLY, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-04-27 |
| LC Amendment | 2011-03-07 |
| LC Name Change | 2010-11-29 |
| Florida Limited Liability | 2010-11-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
