Entity Name: | ULTIMATE PREVENTIVE CARE GROUP INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 26 Aug 2020 (4 years ago) |
Document Number: | P20000068214 |
FEI/EIN Number | 85-2933347 |
Address: | 5632 NW 99TH WAY, CORAL SPRINGS, FL 33076 |
Mail Address: | 5632 NW 99TH WAY, CORAL SPRINGS, FL 33076 |
ZIP code: | 33076 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003423468 | 2020-09-29 | 2020-09-29 | 5632 NW 99TH WAY, CORAL SPRINGS, FL, 330762829, US | 5632 NW 99TH WAY, CORAL SPRINGS, FL, 330762829, US | |||||||||||||||||||
|
Phone | +1 954-326-0613 |
Authorized person
Name | KATHERINE PEREZ |
Role | CEO |
Phone | 9543260613 |
Taxonomy
Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1669933974 |
State | FL |
Name | Role |
---|---|
LIGHTHOUSE FINANCIAL GROUP USA INC | Agent |
Name | Role | Address |
---|---|---|
PEREZ, KATHERINE | Chief Executive Officer | 5632 NW 99TH WAY, CORAL SPRINGS, FL 33076 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-15 |
ANNUAL REPORT | 2023-01-04 |
ANNUAL REPORT | 2022-04-04 |
ANNUAL REPORT | 2021-03-19 |
Domestic Profit | 2020-08-26 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State