| Entity Name: | LIFESPAN PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Mar 2017 (8 years ago) |
| Date of dissolution: | 24 Jan 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Jan 2019 (6 years ago) |
| Document Number: | L17000063597 |
| Address: | 37933 FLORIDA AVE, DADE CITY, FL, 33525 |
| Mail Address: | 37933 FLORIDA AVE, DADE CITY, FL, 33525 |
| ZIP code: | 33525 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518490820 | 2017-04-05 | 2017-04-05 | 37933 FLORIDA AVE, DADE CITY, FL, 335254910, US | 37933 FLORIDA AVE, DADE CITY, FL, 335254910, US | |||||||||||||||||
|
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| Phone | +1 813-312-5716 |
Authorized person
| Name | DR. MEGAN NICOLE DADEZ |
| Role | DOCTOR OF OCCUPATIONAL THERAPY |
| Phone | 8133125716 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT18332 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DADEZ MEGAN N | Agent | 37933 FLORIDA AVE, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| DADEZ MEGAN N | Authorized Representative | 37933 FLORIDA AVE, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| DADEZ MICHAEL W | Manager | 37933 FLORIDA AVE, DADE CITY, FL, 33525 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-24 |
| Florida Limited Liability | 2017-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
