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PRO VITA PHYSICAL THERAPY, LLC - Florida Company Profile

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Company Details

Entity Name: PRO VITA PHYSICAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jun 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 22 Oct 2019 (6 years ago)
Document Number: L19000161709
FEI/EIN Number 84-2266437
Address: 638 N. Ferdon Blvd, CRESTVIEW, FL, 32536, US
Mail Address: 3367 Citrine Circle, CRESTVIEW, FL, 32536, US
ZIP code: 32536
City: Crestview
County: Okaloosa
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
001-093-535
State:
ALABAMA

Key Officers & Management

Name Role Address
BULLA CARLA Authorized Member 638 N Ferdon Blvd, CRESTVIEW, FL, 32536
Estes Ulysses Auth 638 N Ferdon Blvd, CRESTVIEW, FL, 32536
BULLA CARLA J Agent 638 N Ferdon Blvd, CRESTVIEW, FL, 32536

National Provider Identifier

NPI Number:
1881404796
Certification Date:
2025-01-12

Authorized Person:

Name:
MRS. CARLA J BULLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
8555952306

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-06 638 N. Ferdon Blvd, CRESTVIEW, FL 32536 -
CHANGE OF MAILING ADDRESS 2024-03-06 638 N. Ferdon Blvd, CRESTVIEW, FL 32536 -
REGISTERED AGENT ADDRESS CHANGED 2023-02-28 638 N Ferdon Blvd, Ste 1, CRESTVIEW, FL 32536 -
LC AMENDMENT 2019-10-22 - -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-01-24
LC Amendment 2019-10-22
Florida Limited Liability 2019-06-19

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State