| Entity Name: | ENVISION LIFE MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Mar 2019 (6 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: | L19000064387 |
| FEI/EIN Number | 83-3838814 |
| Address: | 101 N US HWY 1, STE 207, FORT PIERCE, FL, 34950, US |
| Mail Address: | 101 N US HWY 1, STE 207, FORT PIERCE, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992263107 | 2019-03-06 | 2020-06-12 | 101 N US HIGHWAY 1 STE 207, FORT PIERCE, FL, 349504256, US | 101 N US HIGHWAY 1 STE 207, FORT PIERCE, FL, 349504256, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 772-228-1190 |
| Fax | 8552056117 |
Authorized person
| Name | OMAR FERMIN |
| Role | OWNER |
| Phone | 7722281190 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Fermin Omar A | Agent | 101 N US HWY 1, FORT PIERCE, FL, 34950 |
| Name | Role | Address |
|---|---|---|
| Fermin Omar A | Manager | 101 N US HWY 1, FORT PIERCE, FL, 34950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-15 | Fermin, Omar A | No data |
| CHANGE OF MAILING ADDRESS | 2019-12-10 | 101 N US HWY 1, STE 207, FORT PIERCE, FL 34950 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-12-10 | 101 N US HWY 1, STE 207, FORT PIERCE, FL 34950 | No data |
| LC AMENDMENT | 2019-12-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-12-10 | 101 N US HWY 1, STE 207, FORT PIERCE, FL 34950 | No data |
| LC AMENDMENT | 2019-08-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-15 |
| LC Amendment | 2019-12-10 |
| LC Amendment | 2019-08-13 |
| Florida Limited Liability | 2019-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
