| Entity Name: | LIFESHAPES BOUTIQUE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jun 1998 (27 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P98000056801 |
| FEI/EIN Number | 59-3518159 |
| Address: | 518 LAKEWOOD DR. NORTH, BRANDON, FL 33510 |
| Mail Address: | 518 LAKEWOOD DR. NORTH, BRANDON, FL 33510 |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316047350 | 2006-09-22 | 2020-08-22 | 518 LAKEWOOD DR, BRANDON, FL, 335104037, US | 518 LAKEWOOD DR, BRANDON, FL, 335104037, US | |||||||||||||||||||||
|
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| Phone | +1 813-654-6968 |
| Fax | 8136556968 |
Authorized person
| Name | MRS. FELICIA NORIEGA DICKEY |
| Role | OWNER |
| Phone | 8136296331 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | M2444 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DICKEY, DAVID D | Agent | 101 E KENNEDY BLVD STE 3900, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| DICKEY, FELICIA N | Director | 518 LAKEWOOD DR, BRANDON, FL 33510 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-22 | 101 E KENNEDY BLVD STE 3900, TAMPA, FL 33602 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1999-10-25 | 518 LAKEWOOD DR. NORTH, BRANDON, FL 33510 | No data |
| CHANGE OF MAILING ADDRESS | 1999-10-25 | 518 LAKEWOOD DR. NORTH, BRANDON, FL 33510 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-22 |
| ANNUAL REPORT | 2007-06-26 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-05-02 |
| ANNUAL REPORT | 2004-03-09 |
| ANNUAL REPORT | 2003-04-21 |
| ANNUAL REPORT | 2002-05-06 |
| ANNUAL REPORT | 2001-05-14 |
| ANNUAL REPORT | 2000-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
