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