| Entity Name: | LIFE BALANCE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Mar 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2023 (a year ago) |
| Document Number: | L20000076668 |
| FEI/EIN Number | 84-5053898 |
| Mail Address: | PO BOX 151686, TAMPA, FL, 33684, US |
| Address: | 2916 W Waters Ave, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336775733 | 2020-03-17 | 2021-09-21 | PO BOX 151686, TAMPA, FL, 336841686, US | 2916 W WATERS AVE STE A1, TAMPA, FL, 336141869, US | |||||||||||||||
|
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| Phone | +1 813-443-8221 |
| Fax | 8134431869 |
Authorized person
| Name | PEDRO M HERNANDEZ |
| Role | OWNER |
| Phone | 8134438221 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ PEDRO M | Agent | 2916 W Waters Ave, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ PEDRO M | President | 2916 W Waters Ave, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-03 | HERNANDEZ, PEDRO M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-17 | 2916 W Waters Ave, Suite A1, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-17 | 2916 W Waters Ave, Suite A1, TAMPA, FL 33614 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-17 | 2916 W Waters Ave, Suite A1, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-17 |
| REINSTATEMENT | 2023-10-03 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-08-17 |
| Florida Limited Liability | 2020-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
