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EVOLUTION HEALTH AND PERFORMANCE LLC

Company Details

Entity Name: EVOLUTION HEALTH AND PERFORMANCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Apr 2020 (5 years ago)
Document Number: L20000109730
FEI/EIN Number 850853433
Address: 244 SOUTH PALMETTO AVENUE, DAYTONA BEACH, FL, 32114, US
Mail Address: 244 SOUTH PALMETTO AVENUE, DAYTONA BEACH, FL, 32114, US
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376161380 2020-07-07 2020-07-07 244 S. PALMETTO AVE, DAYTONA BEACH, FL, 32114, US 244 S. PALMETTO AVE, DAYTONA BEACH, FL, 32114, US

Contacts

Phone +1 386-310-2385
Fax 3862339488

Authorized person

Name BOBBY JOHN ARDILA
Role OWNER/PA
Phone 4077392395

Taxonomy

Taxonomy Code 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician
Is Primary Yes
Taxonomy Code 363A00000X - Physician Assistant
Is Primary No

Agent

Name Role
EVOLVE CHIROPRACTIC, LLC Agent

President

Name Role Address
LAMANA KRISTINE G President 244 SOUTH PALMETTO AVENUE, DAYTONA BEACH, FL, 32114

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000125081 APEX HEALTH & PERFORMANCE ACTIVE 2020-09-25 2025-12-31 No data 244 S PALMETTO AVE, DAYTONA BEACH, FL, 32114

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-28
Florida Limited Liability 2020-04-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State