Entity Name: | UBUNTU INTEGRATIVE HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 19 Aug 2019 (6 years ago) |
Date of dissolution: | 27 Sep 2024 (5 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (5 months ago) |
Document Number: | L19000210579 |
FEI/EIN Number | 84-2333077 |
Address: | 125 S State Road 7 Suite 104-342, Wellington, FL 33414 |
Mail Address: | 125 S State Road 7 Suite 104-342, Wellington, FL 33414 |
ZIP code: | 33414 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295386571 | 2019-09-26 | 2024-05-09 | 125 S STATE ROAD 7 STE 104-342, WELLINGTON, FL, 334144385, US | 125 S STATE ROAD 7 STE 104-342, WELLINGTON, FL, 334144385, US | |||||||||||||||||||||||||||||
|
Phone | +1 561-289-4642 |
Fax | 5612571154 |
Authorized person
Name | SHANNON MAE MITCHELL |
Role | CEO |
Phone | 5617897771 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 103700600 |
State | FL |
Name | Role | Address |
---|---|---|
MITCHELL, SHANNON M | Agent | 125 S State Road 7 Suite 104-342, Wellington, FL 33414 |
Name | Role | Address |
---|---|---|
MITCHELL, SHANNON M | Manager | 21673 SUTTERS LN, BOCA RATON, FL 33428 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000102690 | UBUNTU INTEGRATIVE HEALTH | EXPIRED | 2019-09-18 | 2024-12-31 | No data | 21673 SUTTERS LN, BOCA RATON, FL, 33433 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-12-17 | 125 S State Road 7 Suite 104-342, Wellington, FL 33414 | No data |
REINSTATEMENT | 2023-12-17 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-08-21 | 125 S State Road 7 Suite 104-342, Wellington, FL 33414 | No data |
CHANGE OF MAILING ADDRESS | 2023-08-21 | 125 S State Road 7 Suite 104-342, Wellington, FL 33414 | No data |
REINSTATEMENT | 2022-09-29 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
REINSTATEMENT | 2021-11-16 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2021-11-16 | MITCHELL, SHANNON M | No data |
Name | Date |
---|---|
REINSTATEMENT | 2023-12-17 |
REINSTATEMENT | 2022-09-29 |
REINSTATEMENT | 2021-11-16 |
ANNUAL REPORT | 2020-02-16 |
Florida Limited Liability | 2019-08-19 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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6310537809 | 2020-06-01 | 0455 | PPP | 3900 MAX PL UNIT 101, BOYNTON BEACH, FL, 33436-2038 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State