| Entity Name: | GOOD LIFE MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Aug 2009 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P09000068843 |
| FEI/EIN Number | 270794056 |
| Address: | 825 w 39 pl, Hialeah, FL, 33015, US |
| Mail Address: | 825 w 39 pl, Hialeah, FL, 33012, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831419589 | 2010-06-04 | 2010-06-04 | 4995 NW 72ND AVE, 410, MIAMI, FL, 331665643, US | 4995 NW 72ND AVE, 410, MIAMI, FL, 331665643, US | |||||||||||||||||||
|
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| Phone | +1 305-599-5258 |
| Fax | 3055995259 |
Authorized person
| Name | MRS. DAMARIS PENUELA |
| Role | PRESIDENT |
| Phone | 3055995258 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | MA53708 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ JORGE L | Agent | 825 w 39 pl, Hialeah, FL, 33015 |
| Name | Role | Address |
|---|---|---|
| DIAZ JORGE | President | 825 w 39 pl, Hialeah, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 825 w 39 pl, Hialeah, FL 33015 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 825 w 39 pl, Hialeah, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 825 w 39 pl, Hialeah, FL 33015 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-29 | DIAZ, JORGE L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-02-09 |
| ANNUAL REPORT | 2011-03-28 |
| ANNUAL REPORT | 2010-09-16 |
| Domestic Profit | 2009-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
