Entity Name: | EXCELY HEALTH MEDICAL TRANSPORT LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 29 Apr 2024 (9 months ago) |
Document Number: | L24000199360 |
Address: | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL 32714 |
Mail Address: | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL 32714 |
ZIP code: | 32714 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841029014 | 2024-07-29 | 2024-07-29 | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL, 327143056, US | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL, 327143056, US | |||||||||||||
|
Phone | +1 407-782-3804 |
Authorized person
Name | STEPHANIE SEVERE |
Role | CEO |
Phone | 4076923909 |
Taxonomy
Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SEVERE, STEPHANIE | Agent | 1123 SIMEON RD, OAKLAND, FL 34787 |
Name | Role | Address |
---|---|---|
SEVERE, STEPHANIE | Manager | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL 32714 |
Name | Date |
---|---|
Florida Limited Liability | 2024-04-29 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State