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LIFE WELLNESS REHAB CENTER CORP

Company Details

Entity Name: LIFE WELLNESS REHAB CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 09 Feb 2015 (10 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P15000013451
Address: 6447 MIAMI LAKES DRIVE SUITE 222E, MIAMI LAKES, FL 33014
Mail Address: 6447 MIAMI LAKES DRIVE SUITE 222E, MIAMI LAKES, FL 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710379979 2015-02-25 2015-02-25 6447 MIAMI LAKES DR E STE 222E, MIAMI LAKES, FL, 330142764, US 6447 MIAMI LAKES DR E STE 222E, MIAMI LAKES, FL, 330142764, US

Contacts

Phone +1 786-219-9748
Fax 7862199748

Authorized person

Name RICARDO M ACOSTA
Role PRESIDENT
Phone 3052199748

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
ACOSTA, RICARDO M Agent 6447 MIAMI LAKES DRIVE SUITE 222E, MIAMI LAKES, FL 33014

President

Name Role Address
ACOSTA, RICARDO M President 6447 MIAMI LAKES DRIVE SUITE 222E, MIAMI LAKES, FL 33014

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
Domestic Profit 2015-02-09

Date of last update: 20 Feb 2025

Sources: Florida Department of State