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LIFESTREAM THERAPY, INC.

Company Details

Entity Name: LIFESTREAM THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 May 2018 (7 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Jun 2018 (7 years ago)
Document Number: P18000045668
FEI/EIN Number 83-0687524
Address: 12292 LONGVIEW LAKE CIR., BRADENTON, FL, 34211, US
Mail Address: 12292 LONGVIEW LAKE CIR., BRADENTON, FL, 34211, US
ZIP code: 34211
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750903100 2020-05-08 2020-05-08 12292 LONGVIEW LAKE CIR, BRADENTON, FL, 342114965, US 12292 LONGVIEW LAKE CIR, BRADENTON, FL, 342114965, US

Contacts

Phone +1 585-319-8335

Authorized person

Name MARLON CHUAH BIRREY
Role OWNER
Phone 5853198335

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Director

Name Role Address
BIRREY MARLON Director 12292 LONGVIEW LAKE CIR., BRADENTON, FL, 34211
DEBELOS ARIANE MAE Director 12292 LONGVIEW LAKE CIR., BRADENTON, FL, 34211

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-18 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
AMENDMENT 2018-06-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-02-12
Amendment 2018-06-25
Domestic Profit 2018-05-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State