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ALTITUDE HEALTH CORP I, LLC - Florida Company Profile

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Company Details

Entity Name: ALTITUDE HEALTH CORP I, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 May 2023 (2 years ago)
Document Number: L23000264427
FEI/EIN Number 931619267
Address: 9905 Old St. Augustine Road, Jacksonville, FL, 32257, US
Mail Address: 9905 Old St. Augustine Road, Jacksonville, FL, 32257, US
ZIP code: 32257
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Crawford Jacob Agent 9905 Old St. Augustine Road, Jacksonville, FL, 32257
Crawford Jacob Chief Executive Officer 9905 Old St. Augustine Road, Jacksonville, FL, 32257

National Provider Identifier

NPI Number:
1831970029
Certification Date:
2023-10-12

Authorized Person:

Name:
ADAM BERK
Role:
CEO/PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-07 9905 Old St. Augustine Road, 400, Jacksonville, FL 32257 -
CHANGE OF MAILING ADDRESS 2024-10-07 9905 Old St. Augustine Road, 400, Jacksonville, FL 32257 -
REGISTERED AGENT NAME CHANGED 2024-10-07 Crawford, Jacob -
REGISTERED AGENT ADDRESS CHANGED 2024-10-07 9905 Old St. Augustine Road, 400, Jacksonville, FL 32257 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-07
ANNUAL REPORT 2024-02-13
Florida Limited Liability 2023-05-31

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Date of last update: 03 Jul 2025

Sources: Florida Department of State