| Entity Name: | LIGHT FOR LIFE THERAPY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jun 2016 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P16000052097 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 7925 NW 12TH STREET, STE 104, DORAL, FL, 33126, US |
| Mail Address: | 7925 NW 12TH STREET, STE 104, DORAL, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194177378 | 2016-07-12 | 2018-03-17 | 275 FONTAINEBLEAU BLVD, STE 130, MIAMI, FL, 331724591, US | 275 FONTAINEBLEAU BLVD STE 130, MIAMI, FL, 331727011, US | |||||||||||||||||||||
|
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| Phone | +1 786-439-5835 |
Authorized person
| Name | JANET L GONZALEZ |
| Role | OWNER |
| Phone | 7864395835 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GONZALEZ JANET L | Agent | 3001 S. OCEAN DR., HOLLYWOOD, FL, 33019 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ JANET L | President | 3001 S. OCEAN DR., HOLLYWWOD, FL, 33019 |
| Name | Role | Address |
|---|---|---|
| LEON ADRIAN | Vice President | 12421 SW 21ST LANE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| VARELA IDANIA L | Treasurer | 12421 SW 21ST LANE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-15 | 7925 NW 12TH STREET, STE 104, DORAL, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-15 | 7925 NW 12TH STREET, STE 104, DORAL, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-15 | 3001 S. OCEAN DR., 601, HOLLYWOOD, FL 33019 | No data |
| AMENDMENT | 2016-07-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-02-15 |
| ANNUAL REPORT | 2017-07-03 |
| Amendment | 2016-07-05 |
| Domestic Profit | 2016-06-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
