| Entity Name: | LONG LIFE MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jun 1999 (26 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P99000058336 |
| FEI/EIN Number | 650929815 |
| Address: | 2780 SW 87 AVE, SUITE 104, MIAMI, FL, 33165 |
| Mail Address: | 2780 SW 87 AVE, SUITE 104, MIAMI, FL, 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316912975 | 2006-02-17 | 2008-03-28 | 2780 SW 87 AVE, STE 104, MIAMI, FL, 33165, US | 2780 SW 87TH AVE, SUITE 104, MIAMI, FL, 331653296, US | |||||||||||||||||||||||
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| Phone | +1 305-552-7723 |
| Fax | 3055527791 |
Authorized person
| Name | ENRIQUE FRAXEDAS |
| Role | PRESIDENT |
| Phone | 3055527723 |
Taxonomy
| Taxonomy Code | 261QM3000X - Medically Fragile Infants and Children Day Care |
| License Number | MCC4499 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSF |
| Number | 34637 |
| Name | Role | Address |
|---|---|---|
| FRAXEDAS ENRIQUE | Agent | 2780 SW 87 AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| FRAXEDAS ENRIQUE | President | 2780 SW 87 AVE STE 104, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| FRAXEDAS ENRIQUE | Director | 2780 SW 87 AVE STE 104, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-02-08 | 2780 SW 87 AVE, SUITE 104, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2000-02-08 | 2780 SW 87 AVE, SUITE 104, MIAMI, FL 33165 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-02-08 | 2780 SW 87 AVE, SUITE 104, MIAMI, FL 33165 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10001112736 | LAPSED | 08-77933-CA-01 | 11TH JUD. CIR. CT. MIAMI-DADE | 2010-10-28 | 2015-12-14 | $125,283.74 | BANK OF AMERICA, N.A., 101 NORTH TRYON STREET, CHARLOTTE, NC 28255 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-19 |
| ANNUAL REPORT | 2010-06-18 |
| ANNUAL REPORT | 2009-04-01 |
| ANNUAL REPORT | 2008-03-14 |
| ANNUAL REPORT | 2007-05-22 |
| ANNUAL REPORT | 2006-03-27 |
| ANNUAL REPORT | 2005-03-07 |
| ANNUAL REPORT | 2004-04-28 |
| ANNUAL REPORT | 2003-02-10 |
| ANNUAL REPORT | 2002-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
