| Entity Name: | LIFELINE PPE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Mar 2021 (4 years ago) |
| Document Number: | L21000142526 |
| FEI/EIN Number | 85-2889446 |
| Address: | 1181 S Sumter Blvd, North Port, FL, 34287, US |
| Mail Address: | 1181 S Sumter Blvd, North Port, FL, 34287, US |
| ZIP code: | 34287 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912738436 | 2024-08-08 | 2024-08-16 | 1181 S SUMTER BLVD STE 317, NORTH PORT, FL, 342872335, US | 3866 JULNAR AVE, NORTH PORT, FL, 34286, US | |||||||||||||||||
|
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| Phone | +1 800-940-0661 |
Authorized person
| Name | MICHAEL BORZA |
| Role | OWNER/AUTHORIZED OFFICIAL |
| Phone | 8009400661 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BORZA MICHAEL | Agent | 1181 S Sumter Blvd, North Port, FL, 34287 |
| Name | Role | Address |
|---|---|---|
| BORZA MICHAEL | Manager | 1181 S Sumter Blvd, North Port, FL, 34287 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000054250 | LIFELINE MEDICAL GROUP, LLC | ACTIVE | 2023-04-29 | 2028-12-31 | No data | 312 E VENICE AVENUE SUITE 115A, VENICE, FL, 34285 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 1181 S Sumter Blvd, 317, North Port, FL 34287 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 1181 S Sumter Blvd, 317, North Port, FL 34287 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 1181 S Sumter Blvd, 317, North Port, FL 34287 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-01-23 |
| Florida Limited Liability | 2021-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
