| Entity Name: | EXTRAORDINARY TRANSPORT, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 May 2023 (2 years ago) |
| Document Number: | N23000005971 |
| FEI/EIN Number | 93-1343234 |
| Address: | 4220 LAKE WORTH RD, LAKE WORTH, FL, 33461, US |
| Mail Address: | 4220 LAKE WORTH RD, LAKE WORTH, FL, 33461, US |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598456378 | 2023-05-15 | 2023-05-15 | 4220 LAKE WORTH RD, LAKE WORTH, FL, 334613933, US | 4220 LAKE WORTH RD, LAKE WORTH, FL, 334613933, US | |||||||||||||
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| Phone | +1 561-379-5591 |
Authorized person
| Name | OPAL THOMAS |
| Role | OWNER |
| Phone | 5613133531 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GILZENE MADEAN | Agent | 4220 LAKE WORTH RD, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| GILZENE MADEAN | President | 4220 LAKE WORTH RD, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| THOMAS OPAL | Vice President | 4220 LAKE WORTH RD, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| WARE TRICKIA | Secretary | 4220 LAKE WORTH RD, LAKE WORTH, FL, 33461 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| Domestic Non-Profit | 2023-05-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
