| Entity Name: | HOUGHTON HEALTH ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Apr 2022 (3 years ago) |
| Document Number: | L22000183262 |
| FEI/EIN Number | 88-2224279 |
| Address: | 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL, 34746, US |
| Mail Address: | 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL, 34746, UN |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457097636 | 2022-05-10 | 2022-05-10 | 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL, 34746, US | 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL, 34746, US | |||||||||||||||||||||||||
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| Phone | +1 678-925-4276 |
Authorized person
| Name | GLENDA ROSE HOUGHTON |
| Role | OWNER/CEO |
| Phone | 6789254276 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOUGHTON GLENDA R | Agent | 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| HOUGHTON GLENDA R | Manager | 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL, 34746 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
