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  5. FUNCTIONAL HEALTHCARE GROUP PLLC

FUNCTIONAL HEALTHCARE GROUP PLLC - Florida Company Profile

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Company Details

Entity Name: FUNCTIONAL HEALTHCARE GROUP PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FUNCTIONAL HEALTHCARE GROUP PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Aug 2017 (8 years ago)
Document Number: L17000167503
FEI/EIN Number 82-2451996

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 21754 FL-54, Lutz, FL, 33549, US
Mail Address: 3727 Tuckerton Dr, Land O Lakes, FL, 34638, US
ZIP code: 33549
City: Lutz
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEWIS MATT C Manager 3727 Tuckerton Drive, LAND O LAKES, FL, 34638
PATEL-LEWIS DIPTI Authorized Person 3727 Tuckerton Drive, LAND O LAKES, FL, 34638
LEWIS MATTHEW C Agent 730 Sterling Avenue, Tamp, FL, 33609

National Provider Identifier

NPI Number:
1710483847
Certification Date:
2024-11-18
Link:
View on NPI website

Authorized Person:

Name:
DR. MATTHEW CRAIG LEWIS
Role:
OWNER
Phone:
7188139299

Taxonomy:

Selected Taxonomy:
111NN1001X - Nutrition Chiropractor
Is Primary:
Yes

Contacts:

Phone:
+1 718-813-9299
Fax:
8136586215

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000096184 PROVOKE HEALTH ACTIVE 2024-08-13 2029-12-31 - 21754 STATE ROAD 54 SUITE 102, LUTZ, FL, 33549

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 21754 FL-54, Suite 102, Lutz, FL 33549 -
CHANGE OF MAILING ADDRESS 2022-01-31 21754 FL-54, Suite 102, Lutz, FL 33549 -
REGISTERED AGENT ADDRESS CHANGED 2018-01-03 730 Sterling Avenue, Suite 214, Tamp, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-11
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-03
Florida Limited Liability 2017-08-07

USAspending Awards / Financial Assistance

Date:
2021-02-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
21062.00
Total Face Value Of Loan:
21062.00
Date:
2020-06-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
82300.00
Total Face Value Of Loan:
82300.00
Date:
2020-04-29
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2017-09-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
50000.00
Total Face Value Of Loan:
50000.00

Trademarks

Serial Number:
98585373
Mark:
PROVOKE HEALTH
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2024-06-05
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
PROVOKE HEALTH
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Medical services, namely integrated medical services including IV therapies, hormone replacement therapies, nutritional counseling, and peptide replacement
First Use:
2024-02-02
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$21,062
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,062
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$21,241.61
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $21,059
Utilities: $1

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Related by address

3727 Tuckerton Dr, Land O Lakes, FL, 34638, US

TAMPA INJURY & WELLNESS CENTER LLC
Florida Limited Liability Co.
TAMPA INJURY & WELLNESS CENTER LLC, which currently Active, has registered address 3727 Tuckerton Dr, Land O Lakes, FL, 34638, US.

Date of last update: 02 Jul 2025

Sources: Florida Department of State

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