| Entity Name: | EXCELLENT ULTIMATE MEDICAL CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | L21000197518 |
| FEI/EIN Number | 86-3737804 |
| Address: | 624 SOUTH MAIN ST. #2, BELLE GLADE, FL, 33430, US |
| Mail Address: | 624 SOUTH MAIN ST. #2, BELLE GLADE, FL, 33430, US |
| ZIP code: | 33430 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063134062 | 2022-09-15 | 2023-03-06 | 624 S MAIN ST # 2, BELLE GLADE, FL, 334303916, US | 624 S MAIN ST # 2, BELLE GLADE, FL, 334303916, US | |||||||||||||||||
|
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| Phone | +1 866-410-1413 |
Authorized person
| Name | TANIA ALICIA RITCHIE |
| Role | FNP |
| Phone | 8664101413 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| A. G. SINCLAIR CPA, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| RITCHIE TANIA A | Authorized Member | 624 SOUTH MAIN ST.#2, BELLE GLADE, FL, 33430 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-13 | 624 SOUTH MAIN ST. #2, BELLE GLADE, FL 33430 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-13 | A G SINCLAIR CPA PLLC | No data |
| REINSTATEMENT | 2022-12-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-21 | 624 SOUTH MAIN ST. #2, BELLE GLADE, FL 33430 | No data |
| LC AMENDMENT | 2022-06-21 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-21 | 624 SOUTH MAIN ST. #2, BELLE GLADE, FL 33430 | No data |
| LC NAME CHANGE | 2021-12-29 | EXCELLENT ULTIMATE MEDICAL CENTER PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-27 |
| REINSTATEMENT | 2022-12-13 |
| LC Amendment | 2022-06-21 |
| LC Name Change | 2021-12-29 |
| Florida Limited Liability | 2021-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
