| Entity Name: | MATA HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Apr 2020 (5 years ago) |
| Document Number: | L20000096237 |
| FEI/EIN Number | 85-0641529 |
| Address: | 2778 US Highway 27 South, Avon Park, FL, 33825, US |
| Mail Address: | 5063 Moss Hammock Trail, Sebring, FL, 33872, US |
| ZIP code: | 33825 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932867488 | 2021-12-01 | 2022-01-03 | 5926 ORION DR, SEBRING, FL, 338721584, US | 5926 ORION DR, SEBRING, FL, 338721584, US | |||||||||||||||||
|
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| Phone | +1 863-840-0639 |
Authorized person
| Name | ORLAND MATA CRUZ |
| Role | NURSE PRACTITIONER |
| Phone | 8638400639 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Pujols Jeila S | Agent | 5063 Moss Hammock Trail, Sebring, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| Mata Cruz Orland | Manager | 5063 Moss Hammock Trail, Sebring, FL, 33872 |
| PUJOLS JEILA | Manager | 5926 ORION DRIVE, SEBRING, FL, 33872 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000171977 | ORION HEALTH & WELLNESS SERVICES | ACTIVE | 2021-12-27 | 2026-12-31 | No data | 5926 ORION DR, SEBRING, FL, 33872 |
| G21000160765 | ORION KIDNEY SERVICES | ACTIVE | 2021-12-03 | 2026-12-31 | No data | 5926 ORION DR, SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-26 | 2778 US Highway 27 South, Avon Park, FL 33825 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 2778 US Highway 27 South, Avon Park, FL 33825 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-26 | Pujols, Jeila S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 5063 Moss Hammock Trail, Sebring, FL 33872 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-15 |
| Florida Limited Liability | 2020-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
