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GLUTALITY PROVIDER GROUP, P.A. - Florida Company Profile

Headquarter

Company Details

Entity Name: GLUTALITY PROVIDER GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

GLUTALITY PROVIDER GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 03 Oct 2019 (6 years ago)
Last Event: AMENDMENT
Event Date Filed: 28 Nov 2022 (2 years ago)
Document Number: P19000074437
FEI/EIN Number 85-0703904

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 401 Fairway Dr, Suite 200, Deerfield Beach, FL, 33441, US
Mail Address: 401 Fairway Dr, Suite 200, Deerfield Beach, FL, 33441, US
ZIP code: 33441
County: Broward
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of GLUTALITY PROVIDER GROUP, P.A., MISSISSIPPI 1214455 MISSISSIPPI
Headquarter of GLUTALITY PROVIDER GROUP, P.A., RHODE ISLAND 001715956 RHODE ISLAND
Headquarter of GLUTALITY PROVIDER GROUP, P.A., ALASKA 10142498 ALASKA
Headquarter of GLUTALITY PROVIDER GROUP, P.A., MINNESOTA fd91f44e-189a-ea11-919b-00155d32b905 MINNESOTA
Headquarter of GLUTALITY PROVIDER GROUP, P.A., COLORADO 20201713693 COLORADO
Headquarter of GLUTALITY PROVIDER GROUP, P.A., IDAHO 3980347 IDAHO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083256168 2019-10-10 2024-10-04 5300 BROKEN SOUND BLVD NW STE 200, BOCA RATON, FL, 334873514, US 5300 BROKEN SOUND BLVD NW STE 200, BOCA RATON, FL, 334873514, US

Contacts

Phone +1 561-678-2026
Fax 5614239249

Authorized person

Name JOHN M SORTINO
Role OWNER
Phone 5615967517

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
SORTINO JOHN President 401 FAIRWAY DR, DEERFIELD BEACH, FL, 33441
Bunting Jeffrey Chief Financial Officer 401 Fairway Drive, Deerfield Beach, FL, 33441

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-12 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2024-03-12 1201 HAYS STREET, TALLAHASSEE, FL 32301 -
AMENDMENT 2022-11-28 - -
CHANGE OF PRINCIPAL ADDRESS 2021-08-30 401 Fairway Dr, Suite 200, Deerfield Beach, FL 33441 -
CHANGE OF MAILING ADDRESS 2021-08-30 401 Fairway Dr, Suite 200, Deerfield Beach, FL 33441 -
NAME CHANGE AMENDMENT 2019-12-20 GLUTALITY PROVIDER GROUP, P.A. -

Documents

Name Date
Reg. Agent Change 2024-03-12
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-07-13
Amendment 2022-11-28
ANNUAL REPORT 2022-01-31
AMENDED ANNUAL REPORT 2021-08-30
ANNUAL REPORT 2021-01-13
AMENDED ANNUAL REPORT 2020-11-19
AMENDED ANNUAL REPORT 2020-08-18
ANNUAL REPORT 2020-03-04

Date of last update: 02 Apr 2025

Sources: Florida Department of State