| Entity Name: | LIFE REHAB AND WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Nov 2023 (a year ago) |
| Document Number: | L23000509957 |
| FEI/EIN Number | 93-4389040 |
| Address: | 1117 S SEMORAN BLVD, ORLANDO, FL, 32807, US |
| Mail Address: | PO 570038, ORLANDO, FL, 32857 |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184498743 | 2023-11-14 | 2023-11-14 | PO BOX 570038, ORLANDO, FL, 328570038, US | 1117 S SEMORAN BLVD, ORLANDO, FL, 328071480, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-930-1112 |
| Fax | 4079301114 |
Authorized person
| Name | DR. ARCILIO ALVARADO |
| Role | PRESIDENT |
| Phone | 4079301112 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ARCILIO ALVARADO | Agent | 1117 S SEMORAN BLVD, ORLANDO, FL, 32807 |
| Name | Role | Address |
|---|---|---|
| ALVARADO ARCILIO | Authorized Manager | 9107 PHILLIPS GROVE TERRACE, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-08 | 1117 S SEMORAN BLVD, ORLANDO, FL 32807 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| Florida Limited Liability | 2023-11-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
