| Entity Name: | LIFETIME HEALTH MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Feb 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P21000019693 |
| FEI/EIN Number | 86-2233719 |
| Address: | 14850 SW 26TH ST, MIAMI, FL, 33185, US |
| Mail Address: | 14850 SW 26TH ST, MIAMI, FL, 33185, US |
| ZIP code: | 33185 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750055216 | 2021-08-06 | 2021-08-06 | 11410 N KENDALL DR STE 307, MIAMI, FL, 331761031, US | 11410 N KENDALL DR STE 307, MIAMI, FL, 331761031, US | |||||||||||||||
|
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| Phone | +1 786-238-7982 |
| Fax | 3054631293 |
Authorized person
| Name | RAUL DUCONGER |
| Role | PRESIDENT |
| Phone | 7862387982 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUCONGER RAUL | Agent | 14850 SW 26TH ST, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| MONTENEGRO GERARDO | President | 14850 SW 26TH ST, MIAMI, FL, 33185 |
| DUCONGER RAUL | President | 14850 SW 26TH ST, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| MONTENEGRO GERARDO | Vice President | 14850 SW 26TH ST, MIAMI, FL, 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-03 | 14850 SW 26TH ST, SUITE 211, MIAMI, FL 33185 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-03 | 14850 SW 26TH ST, SUITE 211, MIAMI, FL 33185 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 14850 SW 26TH ST, SUITE 211, MIAMI, FL 33185 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-07-09 | DUCONGER, RAUL | No data |
| AMENDMENT | 2021-07-09 | No data | No data |
| AMENDMENT | 2021-05-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-03 |
| Amendment | 2021-07-09 |
| Amendment | 2021-05-17 |
| Domestic Profit | 2021-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
