| Entity Name: | CONTINENTAL LIFESTYLE MEDICINE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Apr 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Mar 2023 (2 years ago) |
| Document Number: | L21000183043 |
| FEI/EIN Number | 86-3547403 |
| Address: | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 |
| Mail Address: | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 |
| ZIP code: | 33712 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629640313 | 2021-07-13 | 2021-07-13 | 2672 1ST AVE S, SAINT PETERSBURG, FL, 337121108, US | 2672 1ST AVE S, SAINT PETERSBURG, FL, 337121108, US | |||||||||||||||
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| Phone | +1 727-800-9705 |
| Fax | 7278009806 |
Authorized person
| Name | MS. MARTHA DEL ROSARIO ALZAMORA |
| Role | PRESIDENT |
| Phone | 7278009705 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALZAMORA, MARTHA, M.D. | Agent | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 |
| Name | Role | Address |
|---|---|---|
| ALZAMORA, MARTHA | Manager | 2672 1ST AVE S, SAINT PETERSBURG, FL 33712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-01 | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-01 | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-01 | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-01 | 2672 1ST AVE S., SAINT PETERSBURG, FL 33712 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-29 | ALZAMORA, MARTHA, M.D. | No data |
| REINSTATEMENT | 2023-03-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-29 |
| REINSTATEMENT | 2023-03-29 |
| Florida Limited Liability | 2021-04-20 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
