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LONGEVITY LIVES LLC

Company Details

Entity Name: LONGEVITY LIVES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Mar 2023 (2 years ago)
Document Number: L23000134401
FEI/EIN Number 92-2630545
Address: 106 BREEZE HILL LANE, *****SEENOTE*****, PALM COAST, FL 32137
Mail Address: 106 BREEZE HILL LANE, PALM COAST, FL 32137
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457044307 2023-05-29 2023-05-29 106 BREEZE HILL LN, PALM COAST, FL, 321373609, US 106 BREEZE HILL LN, PALM COAST, FL, 321373609, US

Contacts

Phone +1 702-325-2119
Fax 7864016041

Authorized person

Name MR. JEREMY E LYNCH
Role MANAGER
Phone 7864016722

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

Agent

Name Role Address
SESSIONS, BRUNO S, JR Agent 106 BREEZE HILL LANE, PALM COAST, FL 32137

Manager

Name Role Address
SESSIONS, BRUNO S, JR Manager 106 BREEZE HILL LANE, PALM COAST, FL 32137
LYNCH, JEREMY E Manager 422 CLARKSTOWN ROAD, MAYS LANDING, NJ 08330

Documents

Name Date
ANNUAL REPORT 2024-04-05
Florida Limited Liability 2023-03-15

Date of last update: 10 Jan 2025

Sources: Florida Department of State