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UNIVERSAL TELE-HEALTH & WELLNESS INC.

Company Details

Entity Name: UNIVERSAL TELE-HEALTH & WELLNESS INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Nov 2021 (3 years ago)
Document Number: P21000100686
FEI/EIN Number 873829247
Address: 229 State Road 60 E, Lake Wales, FL, 33853, US
Mail Address: 229 State Road 60 E, Lake Wales, FL, 33853, US
ZIP code: 33853
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053068205 2022-03-08 2022-03-08 PO BOX 482, LAKE HAMILTON, FL, 338510482, US 2128 CLERMONT ST, WINTER HAVEN, FL, 338818264, US

Contacts

Phone +1 863-282-6441

Authorized person

Name SHIRLEY O WHITE-CAMPBELL
Role APRN
Phone 8632826441

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
WHITE-CAMPBELL SHIRLEY ODR. Agent 229 State Road 60E, Lake Wales, FL, 33853

Director

Name Role Address
WHITE-CAMPBELL SHIRLEY ODR. Director 229 State Road 60 E, Lake Wales, FL, 33853

President

Name Role Address
CAMPBELL Le-Anna GMs. President 229 State Road 60 E, Lake Wales, FL, 33853

Vice President

Name Role Address
WHITE-CAMPBELL Le-Andrea KMiss Vice President 229 State Road 60 E, Lake Wales, FL, 33853

Treasurer

Name Role Address
WHITE-CAMPBELL SHIRLEY ODR. Treasurer 229 State Road 60 E, Lake Wales, FL, 33853

Manager

Name Role Address
CAMPBELL Sherrah SMr. Manager 229 State Road 60 E, Lake Wales, FL, 33853

Secretary

Name Role Address
CAMPBELL La-Chandra OMS Secretary 229 State Road 60 E, Lake Wales, FL, 33853

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000030089 UNIVERSAL HEALTH & WELLNESS MEDICAL CENTER. TELEHEALTH. IV HYDRATION SPA. WEIGHT LOSS CLINIC. TRT ACTIVE 2023-03-06 2028-12-31 No data 229 STATE ROAD 60 E, LAKE WALES, FL, 33853

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-22 229 State Road 60E, Lake Wales, FL 33853 No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-06 229 State Road 60 E, Lake Wales, FL 33853 No data
CHANGE OF MAILING ADDRESS 2023-03-06 229 State Road 60 E, Lake Wales, FL 33853 No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-31
Domestic Profit 2021-11-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State