| Entity Name: | MARTIN LIFE SOLUTION, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jan 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P08000001076 |
| FEI/EIN Number | 261684713 |
| Address: | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| Mail Address: | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023271434 | 2008-07-07 | 2008-07-07 | 1717 SW 136TH PL, MIAMI, FL, 331751050, US | 1717 SW 136TH PL, MIAMI, FL, 331751050, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-290-8108 |
| Fax | 3052267210 |
Authorized person
| Name | MRS. JOSEFA C MARTIN |
| Role | PRESIDENT |
| Phone | 7862908108 |
Taxonomy
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693709896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEL CARMEN MARTIN JOSEFA | Agent | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| DEL CARMEN MARTIN JOSEFA | President | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| DEL CARMEN MARTIN JOSEFA | Director | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| ARTEAGA LEONARDO | Director | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ARTEAGA LEONARDO | Secretary | 1717 SW 136 PLACE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-24 |
| Domestic Profit | 2008-01-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
