| Entity Name: | ENHANCED LIFESTYLE SENIOR HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Mar 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Nov 2024 (3 months ago) |
| Document Number: | L21000099569 |
| FEI/EIN Number | 86-2626098 |
| Address: | 2125 HARDEN BOULEVARD, LAKELAND, FL 33803 |
| Mail Address: | 2125 HARDEN BOULEVARD, LAKELAND, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336891704 | 2022-01-26 | 2022-05-06 | 2125 HARDEN BLVD, LAKELAND, FL, 338035918, US | 2125 HARDEN BLVD, LAKELAND, FL, 338035918, US | |||||||||||||||
|
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| Phone | +1 863-838-8114 |
| Fax | 8633458793 |
Authorized person
| Name | DAVID GONZALEZ |
| Role | CREDENTIALING |
| Phone | 8134536179 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| reinoso, jose gabriel | Agent | 6336 prominence point drive, lakeland, FL 33813 |
| Name | Role | Address |
|---|---|---|
| reinoso, jose gabriel | Authorized Member | 6336 prominence point drive, lakeland, FL 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-11 | reinoso, jose gabriel | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-11 | 6336 prominence point drive, lakeland, FL 33813 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-11 |
| AMENDED ANNUAL REPORT | 2022-10-10 |
| ANNUAL REPORT | 2022-04-14 |
| Florida Limited Liability | 2021-03-01 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
