| Entity Name: | NEW LIFE INFUSION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2004 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P04000137858 |
| FEI/EIN Number | 201711294 |
| Address: | 1455 SW 27 AVENUE, MIAMI, FL, 33145, US |
| Mail Address: | 1455 SW 27 AVENUE, MIAMI, FL, 33145, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790828408 | 2007-02-14 | 2008-06-25 | 1455 SW 27TH AVE, MIAMI, FL, 331451234, US | 1455 SW 27TH AVE, MIAMI, FL, 331451234, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-649-3260 |
| Fax | 3056493261 |
Authorized person
| Name | DR. RAUL IGNACIO TANO |
| Role | PRESIDENT |
| Phone | 3056493260 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| License Number | 170066-0002 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 044443000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA-OLIVER & MAINIERI, P.A. | Agent | 782 N.W. LE JEUNE RD., STE. 447, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| TANO ANA | President | 1455 SW 27 AVENUE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| TANO ANA | Secretary | 1455 SW 27 AVENUE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| TANO RAUL I | Vice President | 1455 SW 27 AVENUE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| TANO RAUL I | Treasurer | 1455 SW 27 AVENUE, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-12-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-12-26 | 1455 SW 27 AVENUE, MIAMI, FL 33145 | No data |
| CHANGE OF MAILING ADDRESS | 2007-12-26 | 1455 SW 27 AVENUE, MIAMI, FL 33145 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2007-12-26 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-02-24 |
| Domestic Profit | 2004-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
