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LIFELINE PPE, LLC - Florida Company Profile

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Company Details

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
City: North Port
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BORZA MICHAEL Agent 1181 S Sumter Blvd, North Port, FL, 34287
BORZA MICHAEL Manager 1181 S Sumter Blvd, North Port, FL, 34287

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
MICHAEL BORZA
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P2666262
Trade Name:
LIFELINE MEDICAL GROUP, LLC

Unique Entity ID

Unique Entity ID:
ZM9QQ729LTE9
CAGE Code:
971K1
UEI Expiration Date:
2026-01-29

Business Information

Doing Business As:
LIFELINE MEDICAL GROUP, LLC
Division Name:
LIFELINE PPE LLC
Activation Date:
2025-01-31
Initial Registration Date:
2021-10-27

Commercial and government entity program

CAGE number:
971K1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-31
CAGE Expiration:
2030-01-31
SAM Expiration:
2026-01-29

Contact Information

POC:
MICHAEL BORZA
Corporate URL:
www.lifelinemedicalgroup.com

National Provider Identifier

NPI Number:
1912738436
Certification Date:
2024-12-06

Authorized Person:

Name:
MICHAEL BORZA
Role:
OWNER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
293D00000X - Physiological Laboratory
Is Primary:
Yes

Contacts:

Fictitious Names

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 - 312 E VENICE AVENUE SUITE 115A, VENICE, FL, 34285

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-05 1181 S Sumter Blvd, 317, North Port, FL 34287 -
CHANGE OF MAILING ADDRESS 2024-03-05 1181 S Sumter Blvd, 317, North Port, FL 34287 -
REGISTERED AGENT ADDRESS CHANGED 2024-03-05 1181 S Sumter Blvd, 317, North Port, FL 34287 -

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-30
ANNUAL REPORT 2022-01-23
Florida Limited Liability 2021-03-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State