| Entity Name: | EXTRAIT HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jan 2023 (2 years ago) |
| Document Number: | L23000025964 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 809 PATRICK ST, KISSIMMEE, FL 34741 |
| Mail Address: | 437 WILDFLOWER RD, DAVENPORT, FL 33837 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427757848 | 2023-02-24 | 2023-02-24 | 437 WILDFLOWER RD, DAVENPORT, FL, 338372646, US | 437 WILDFLOWER RD, DAVENPORT, FL, 338372646, US | |||||||||||||
|
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| Phone | +1 863-449-8583 |
Authorized person
| Name | MARCU MACAGBA |
| Role | OWNER |
| Phone | 8634498583 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MACAGBA, MARCU | Authorized Member | 437 WILDFLOWER RD, DAVENPORT, FL 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-10 | 809 PATRICK ST, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| Florida Limited Liability | 2023-01-12 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
