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  5. LIFESTREAM, INC.

LIFESTREAM, INC. - Florida Company Profile

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Company Details

Entity Name: LIFESTREAM, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Oct 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 25 Oct 2019 (6 years ago)
Document Number: P03000107860
FEI/EIN Number 800077535
Address: 3350 SW 148th Ave, Miramar, FL, 33027, US
Mail Address: 3350 SW 148th Ave, Miramar, FL, 33027, US
ZIP code: 33027
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FAIVISH DOVI President 3350 SW 148th Ave, Miramar, FL, 33027
FAIVISH DOVI Chief Executive Officer 3350 SW 148th Ave, Miramar, FL, 33027
FAIVISH DOVI Agent 3350 SW 148th Ave, Miramar, FL, 33027

National Provider Identifier

NPI Number:
1689811903
Link:
View on NPI website

Authorized Person:

Name:
MRS. ANGELA H SANCHEZ
Role:
PRESIDENT
Phone:
3052642021

Taxonomy:

Selected Taxonomy:
335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Is Primary:
Yes

Contacts:

Phone:
+1 305-264-2021
Fax:
3052650755

Form 5500 Series

Employer Identification Number (EIN):
800077535
Plan Year:
2014
Number Of Participants:
1
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000061197 LIFESTREAM MOBILE DIAGNOSTIC EXPIRED 2013-06-18 2018-12-31 - 8300 S.W. 8 STREET, SUITE 105, MIAMI, FL, 33144

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-10-26 48 NW 25th Street, 102, Miami, FL 33127 -
REGISTERED AGENT ADDRESS CHANGED 2022-10-26 48 NW 25TH ST, Suite 102, Miami, FL 33127 -
REGISTERED AGENT NAME CHANGED 2022-10-26 FAIVISH, DOVI -
CHANGE OF PRINCIPAL ADDRESS 2022-10-26 48 NW 25th Street, 102, Miami, FL 33127 -
REINSTATEMENT 2019-10-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REINSTATEMENT 2018-10-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2016-09-26 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000212001 TERMINATED 1000000951870 DADE 2023-05-04 2033-05-10 $ 965.81 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J20000363610 TERMINATED 1000000866943 DADE 2020-11-03 2030-11-12 $ 736.36 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J20000153482 TERMINATED 1000000863096 DADE 2020-03-05 2030-03-11 $ 761.26 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J19000681542 TERMINATED 1000000843261 MIAMI-DADE 2019-10-10 2029-10-16 $ 863.53 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J11000030374 TERMINATED 1000000200079 DADE 2011-01-11 2021-01-19 $ 2,447.66 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-04-24
AMENDED ANNUAL REPORT 2022-10-26
ANNUAL REPORT 2022-06-29
ANNUAL REPORT 2021-07-28
ANNUAL REPORT 2020-07-22
REINSTATEMENT 2019-10-25
REINSTATEMENT 2018-10-29
ANNUAL REPORT 2017-08-23
REINSTATEMENT 2016-09-26

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3350 SW 148th Ave, Miramar, FL, 33027, US

NEWBOLT WILSON ENTERPRISE INC
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NEWBOLT WILSON ENTERPRISE INC, which currently Inactive, had registered address 3350 SW 148th Ave, Miramar, FL, 33027, US.
NEWBOLT WILSON ENTERPRISE INC
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NEWBOLT WILSON ENTERPRISE INC, which currently Inactive, had registered address 3350 SW 148th Ave, Miramar, FL, 33027, US.
RE:SOURCE EVENT GROUP LLC
Florida Limited Liability Co.
RE:SOURCE EVENT GROUP LLC, which currently Inactive, had registered address 3350 SW 148th Ave, Miramar, FL, 33027, US.
SALUD MSO, LLC
Florida Limited Liability Co.
SALUD MSO, LLC, which currently Active, has registered address 3350 SW 148th Ave, Miramar, FL, 33027, US.
SALUD MSO, LLC
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SALUD MSO, LLC, which currently Active, has registered address 3350 SW 148th Ave, Miramar, FL, 33027, US.

Date of last update: 01 Aug 2025

Sources: Florida Department of State

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