| Entity Name: | CLEAN LIFE DETOX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jun 2017 (8 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L17000128142 |
| FEI/EIN Number | 82-1842048 |
| Address: | 405 7TH AVE SW, LARGO, FL, 33770, US |
| Mail Address: | 405 7TH AVE SW, LARGO, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215455928 | 2017-09-01 | 2022-07-21 | 405 7TH AVE SW, LARGO, FL, 337703400, US | 405 7TH AVE SW, LARGO, FL, 337703400, US | |||||||||||||
|
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| Phone | +1 727-501-1040 |
Authorized person
| Name | MICKORIA SMITH |
| Role | CHIEF OPERATING OFFICER |
| Phone | 5614207501 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Smith Mickoria | Agent | 12911 Tribute DR, Riverview, FL, 33578 |
| Name | Role | Address |
|---|---|---|
| Zarrow Andrew | Chief Operating Officer | 405 7TH AVE SW, LARGO, FL, 33770 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000023203 | CLEAN LIFE WELLNESS | EXPIRED | 2018-02-13 | 2023-12-31 | No data | 405 7TH AVE, BELLEAIRE BLUFFS, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-07-01 | 405 7TH AVE SW, LARGO, FL 33770 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-07-01 | 405 7TH AVE SW, LARGO, FL 33770 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-23 | 12911 Tribute DR, Riverview, FL 33578 | No data |
| REINSTATEMENT | 2020-06-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-23 | Smith, Mickoria | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC NAME CHANGE | 2018-04-03 | CLEAN LIFE DETOX, LLC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000050597 | TERMINATED | 1000000855768 | PINELLAS | 2020-01-15 | 2030-01-22 | $ 196.72 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629 |
| J19000820983 | TERMINATED | 1000000851834 | PINELLAS | 2019-12-11 | 2029-12-18 | $ 734.28 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-06-23 |
| REINSTATEMENT | 2018-11-02 |
| LC Name Change | 2018-04-03 |
| Florida Limited Liability | 2017-06-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
