| Entity Name: | BETTERUROLIFE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jun 2024 (8 months ago) |
| Document Number: | P24000040070 |
| Address: | 4989 CALLIHAN CT., THE VILLAGES, FL, 32163 |
| Mail Address: | 4989 CALLIHAN CT., THE VILLAGES, FL, 32163 |
| ZIP code: | 32163 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528887346 | 2024-10-08 | 2024-10-08 | 4989 CALLIHAN CT, THE VILLAGES, FL, 321635502, US | 4989 CALLIHAN CT, THE VILLAGES, FL, 321635502, US | |||||||||||||||
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| Phone | +1 520-465-9330 |
| Fax | 5203720058 |
Authorized person
| Name | DR. JENNIFER ELIZABETH PETERS |
| Role | PHYSICIAN AND OWNER |
| Phone | 5204659330 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETERS JENNIFER | Agent | 4989 CALLIHAN CT., THE VILLAGES, FL, 32163 |
| Name | Role | Address |
|---|---|---|
| PETERS JENNIFER | President | 4989 CALLIHAN CT., THE VILLAGES, FL, 32163 |
| Name | Role | Address |
|---|---|---|
| PETERS JENNIFER | Treasurer | 4989 CALLIHAN CT., THE VILLAGES, FL, 32163 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
