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LIFE FOREVER MEDICAL AND REHAB CENTER, INC

Company Details

Entity Name: LIFE FOREVER MEDICAL AND REHAB CENTER, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Oct 2022 (2 years ago)
Document Number: P22000075974
FEI/EIN Number 92-0584660
Address: 2977 goodlette-frank rd, SUITE 40, NAPLES, FL, 34103, US
Mail Address: 2977 goodlette-frank rd, SUITE 40, NAPLES, FL, 34103, US
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538941877 2023-10-20 2023-10-23 2977 GOODLETTE-FRANK RD N STE 40, NAPLES, FL, 341034615, US 2977 GOODLETTE-FRANK RD N STE 40, NAPLES, FL, 341034615, US

Contacts

Phone +1 239-776-7987
Fax 2397767989

Authorized person

Name HAMLET PERIU
Role OWNER
Phone 2397767987

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
PERIU HAMLET Agent 4512 31 AVE SW, NAPLES, FL, 34116

President

Name Role Address
PERIU HAMLET President 4512 31 AVE SW, NAPLES, FL, 34116

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-10-20 2977 goodlette-frank rd, SUITE 40, NAPLES, FL 34103 No data
CHANGE OF MAILING ADDRESS 2022-10-20 2977 goodlette-frank rd, SUITE 40, NAPLES, FL 34103 No data

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-02-01
Domestic Profit 2022-10-03

Date of last update: 02 Feb 2025

Sources: Florida Department of State