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LYFE REHAB AND WELLNESS CENTER LLC

Company Details

Entity Name: LYFE REHAB AND WELLNESS CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Jul 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Jan 2022 (3 years ago)
Document Number: L20000194167
FEI/EIN Number 85-2013954
Address: 3540 NW 121 Ave, Sunrise, FL, 33323, US
Mail Address: 3540 NW 121 Ave, Sunrise, FL, 33323, US
ZIP code: 33323
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316550502 2020-08-26 2020-08-26 6175 NW 153RD ST STE 204, MIAMI LAKES, FL, 330142435, US 6175 NW 153RD ST STE 204, MIAMI LAKES, FL, 330142435, US

Contacts

Phone +1 786-536-7260
Fax 8884121788

Authorized person

Name JESSICA REYES
Role MANAGER
Phone 7865367280

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes
Taxonomy Code 225700000X - Massage Therapist
Is Primary No

Agent

Name Role Address
ESPAILLAT JESSICA R Agent 3540 NW 121 Ave, Sunrise, FL, 33323

President

Name Role Address
ESPAILLAT JESSICA R President 3540 NW 121 Ave, Sunrise, FL, 33323

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-30 3540 NW 121 Ave, Sunrise, FL 33323 No data
CHANGE OF MAILING ADDRESS 2024-09-30 3540 NW 121 Ave, Sunrise, FL 33323 No data
REGISTERED AGENT NAME CHANGED 2024-09-30 ESPAILLAT, JESSICA R No data
REGISTERED AGENT ADDRESS CHANGED 2024-09-30 3540 NW 121 Ave, Sunrise, FL 33323 No data
REINSTATEMENT 2022-01-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-30
AMENDED ANNUAL REPORT 2024-07-11
AMENDED ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-12
REINSTATEMENT 2022-01-20
Florida Limited Liability 2020-07-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State