| Entity Name: | ULTRA HEALTH PROVIDERS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ULTRA HEALTH PROVIDERS OF FLORIDA, LLC 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. |
| 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: | 12 Sep 2018 (7 years ago) |
| Document Number: | L18000215868 |
| FEI/EIN Number |
83-1667539
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 105 Asterbrooke Dr, DeLand, FL, 32724, US |
| Mail Address: | 105 Asterbrooke Drive, DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528549490 | 2018-08-28 | 2024-10-31 | PO BOX 269092, DEPT 1103, OKLAHOMA CITY, OK, 731269092, US | 701 N WILDER RD, PLANT CITY, FL, 335667547, US | |||||||||||||||||||
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| Phone | +1 731-394-1145 |
| Phone | +1 386-562-4899 |
Authorized person
| Name | MR. CHARLES R JERMAN III |
| Role | CFO |
| Phone | 7312348120 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ULTRA HEALTH, LLC | Authorized Member | - |
| PURVIS EXECUTIVE GROUP, LLC | Authorized Member | - |
| Purvis Barbara L | Agent | 105 Asterbrooke Drive, DeLand, FL, 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-11 | 122 Sweet Birch Lane, DeLand, FL 32724 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-11 | 122 Sweet Birch Lane, DeLand, FL 32724 | - |
| CHANGE OF MAILING ADDRESS | 2025-02-11 | 122 Sweet Birch Lane, DeLand, FL 32724 | - |
| REGISTERED AGENT NAME CHANGED | 2025-02-11 | Ward, Barbara Lee | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-26 | 105 Asterbrooke Dr, DeLand, FL 32724 | - |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 105 Asterbrooke Dr, DeLand, FL 32724 | - |
| REGISTERED AGENT NAME CHANGED | 2022-04-30 | Purvis, Barbara Lee | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 105 Asterbrooke Drive, DeLand, FL 32724 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-26 |
| AMENDED ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2022-02-01 |
| AMENDED ANNUAL REPORT | 2021-10-21 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-09-16 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-09-12 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
