| Entity Name: | COMPREHENSIVE HEALTH X4, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Sep 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Oct 2022 (2 years ago) |
| Document Number: | L18000215251 |
| FEI/EIN Number | 83-1904965 |
| Address: | 483 NORTH SEMORAN BLVD, SUITE 104, WINTER PARK, FL 32792 |
| Mail Address: | 483 N Semoran Blvd, Ste 106, Winter Park, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699241703 | 2018-10-16 | 2018-10-16 | 1069 S. CLARKE RD, OCOEE, FL, 34761, US | 483 N SEMORAN BLVD, WINTER PARK, FL, 327923800, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-434-9212 |
Authorized person
| Name | DR. RYAN J NAUGHTIN |
| Role | MEDICAL DIRECTOR |
| Phone | 4074349212 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1447595384 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1427596402 |
| State | NC |
| Issuer | MEDICAID |
| Number | 1376968586 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Naughtin, Ryan John | Agent | 19689 Quarterly Pkwy, Orlando, FL 32833 |
| Name | Role | Address |
|---|---|---|
| WEBB, AARON | Authorized Member | 519 HERRING GULL COURT, OCOEE, FL 34761 |
| Naughtin, Ryan John | Authorized Member | 19689 Quarterly Pkwy, Orlando, FL 32833 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000110923 | COMPREHENSIVE HEALTH ORLANDO | ACTIVE | 2018-10-12 | 2028-12-31 | No data | 483 N SEMORAN BLVD, SUITE 4, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-11 | 483 NORTH SEMORAN BLVD, SUITE 104, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-11 | Naughtin, Ryan John | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-11 | 19689 Quarterly Pkwy, Orlando, FL 32833 | No data |
| REINSTATEMENT | 2022-10-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-14 | 483 NORTH SEMORAN BLVD, SUITE 104, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-01-13 |
| REINSTATEMENT | 2022-10-19 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-08 |
| Florida Limited Liability | 2018-09-10 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
