| Entity Name: | LIFE RENEWING THERAPEUTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
LIFE RENEWING THERAPEUTIC CENTER, INC. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 May 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P11000047058 |
| Address: | 2699 STIRLING ROAD, SUITE B304, HOLLYWOOD, FL 33312 |
| Mail Address: | 3421 N. HILLS DRIVE, HOLLYWOOD, FL 33021 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609169119 | 2011-05-17 | 2011-05-17 | 1401 SW 66TH TER, PLANTATION, FL, 333175131, US | 2699 STIRLING RD, FORT LAUDERDALE, FL, 333126517, US | |||||||||||||||||||||||||
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| Phone | +1 954-336-3512 |
| Phone | +1 954-966-3741 |
Authorized person
| Name | DR. LAURA MARIE KUBAT |
| Role | PRESIDENT |
| Phone | 9543363512 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH7747 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003104400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GLADYS, BLUMENSTINE | Agent | 3421 N. HILLS DRIVE, HOLLYWOOD, FL 33021 |
| KUBAT, LAURA MPHD | President | 1401 SW 66 TERRACE, PLANTATION, FL 33317 |
| BLUMENSTINE, GLADYS | Vice President | 3421 N. HILLS DRIVE, HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| Name | Date |
|---|---|
| Domestic Profit | 2011-05-17 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
