| Entity Name: | LIFESTYLE MED SUPPLY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 May 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000196524 |
| Address: | 2500 NW 79 AVE #159, DORAL, FL, 33122, US |
| Mail Address: | 2500 NW 79 AVE #159, DORAL, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366011223 | 2021-06-23 | 2021-06-23 | 1275 W 49TH PL STE 423, HIALEAH, FL, 330123139, US | 1275 W 49TH PL STE 423, HIALEAH, FL, 330123139, US | |||||||||||||
|
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| Phone | +1 786-334-6187 |
Authorized person
| Name | NESTOR RODRIGUEZ |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3058989756 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOUZA EDUARDO | Agent | 2500 NW 79 AVE #159, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| TOUZA EDUARDO | Authorized Member | 2500 NW 79 AVE #159, DORAL, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2021-11-16 | No data | No data |
| LC AMENDMENT | 2021-10-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-19 | TOUZA, EDUARDO | No data |
| Name | Date |
|---|---|
| LC Amendment | 2021-11-16 |
| LC Amendment | 2021-10-19 |
| Florida Limited Liability | 2021-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
