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LIFEFORCE MEDICAL P.A.

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Company Details

Name: LIFEFORCE MEDICAL P.A.
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Apr 2022 (3 years ago)
Branch of: LIFEFORCE MEDICAL P.A., Florida (Company Number P21000099006)
Entity Number: 6470553
ZIP code: 90401
County: New York
Place of Formation: Florida
Foreign Legal Name: LIFEFORCE MEDICAL P.A.
Address: 100 WILSHIRE BLVD., SUITE 700, SANTA MONICA, CA, United States, 90401

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 100 WILSHIRE BLVD., SUITE 700, SANTA MONICA, CA, United States, 90401

National Provider Identifier

NPI Number:
1568288009
Certification Date:
2025-01-31

Authorized Person:

Name:
RENEE SALGADO
Role:
SR. PROVIDER RELATIONS REP.
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220429000956 2022-04-29 APPLICATION OF AUTHORITY 2022-04-29

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State