| Entity Name: | XTRA HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Oct 2020 (4 years ago) |
| Document Number: | L20000343473 |
| FEI/EIN Number | 85-4078411 |
| Address: | 12036 NW 1ST LN, 200, GAINESVILLE, FL, 32607, UN |
| Mail Address: | 12036 NW 1ST LN, 200, GAINESVILLE, FL, 32607, UN |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255151429 | 2024-10-14 | 2024-10-14 | 12036 NW 1ST LN STE 200, GAINESVILLE, FL, 326071123, US | 12036 NW 1ST LN STE 200, GAINESVILLE, FL, 326071123, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-347-1700 |
Authorized person
| Name | MR. JAMES P MAHER III |
| Role | CEO |
| Phone | 9043471700 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAHER JAMES PIII | Agent | 12036 NW 1ST LN, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| MAHER JAMES PIII | Authorized Member | 12036 NW 1ST LN, GAINESVILLE, FL, 32607 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-16 |
| Florida Limited Liability | 2020-10-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
