Entity Name: | LIFELINK HEALTHCARE INSTITUTE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 17 Jun 1994 (31 years ago) |
Date of dissolution: | 01 Oct 2010 (14 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 01 Oct 2010 (14 years ago) |
Document Number: | N94000003008 |
FEI/EIN Number | 593253621 |
Address: | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
Mail Address: | 2907 BAY TO BAY BLVD, SUITE 201, TAMPA, FL, 33629 |
ZIP code: | 33606 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093732786 | 2006-07-17 | 2010-02-02 | 409 BAYSHORE BLVD, TAMPA, FL, 336062707, US | 409 BAYSHORE BLVD, TAMPA, FL, 336062707, US | |||||||||||||||||||||
|
Phone | +1 813-251-8017 |
Fax | 8132510096 |
Authorized person
Name | DENNIS F HEINRICHS |
Role | PRESIDENT & COO |
Phone | 8132518017 |
Taxonomy
Taxonomy Code | 204F00000X - Transplant Surgery Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 379087800 |
State | FL |
Name | Role | Address |
---|---|---|
MCNAMARA THOMAS P | Agent | 2907 BAY TO BAY BLVD, TAMPA, FL, 33629 |
Name | Role | Address |
---|---|---|
HEINRICHS DENNIS F | President | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
Name | Role | Address |
---|---|---|
HEINRICHS DENNIS F | Director | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
WHELCHEL JOH D | Director | 1984 PEACHTREE ROAD, N.E., SUITE 205, ATLANTA, GA, 30309 |
SHIRES DANA L | Director | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
BOWERS VICTOR F | Director | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
Name | Role | Address |
---|---|---|
D'AQUILA LINDA G | Secretary | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
Name | Role | Address |
---|---|---|
MCDONALD BRYAN C | Treasurer | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
Name | Role | Address |
---|---|---|
SHIRES DANA L | Chief Executive Officer | 409 BAYSHORE BLVD, TAMPA, FL, 33606 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2010-10-01 | No data | No data |
CHANGE OF MAILING ADDRESS | 2007-03-13 | 409 BAYSHORE BLVD, TAMPA, FL 33606 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2007-03-13 | 2907 BAY TO BAY BLVD, STE 201, TAMPA, FL 33629 | No data |
NAME CHANGE AMENDMENT | 2004-02-20 | LIFELINK HEALTHCARE INSTITUTE, INC. | No data |
REGISTERED AGENT NAME CHANGED | 2003-04-25 | MCNAMARA, THOMAS P | No data |
CHANGE OF PRINCIPAL ADDRESS | 2000-05-26 | 409 BAYSHORE BLVD, TAMPA, FL 33606 | No data |
Name | Date |
---|---|
Voluntary Dissolution | 2010-10-01 |
ANNUAL REPORT | 2010-02-03 |
ANNUAL REPORT | 2009-01-19 |
ANNUAL REPORT | 2008-08-13 |
ANNUAL REPORT | 2008-01-21 |
ANNUAL REPORT | 2007-03-13 |
ANNUAL REPORT | 2006-01-26 |
ANNUAL REPORT | 2005-07-11 |
ANNUAL REPORT | 2004-03-09 |
Name Change | 2004-02-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State