Detail by Entity Name

Florida Profit Corporation

GLUTALITY PROVIDER GROUP, P.A.

Filing Information
P19000074437 85-0703904 10/03/2019 FL ACTIVE AMENDMENT 11/28/2022 NONE
Principal Address
401 Fairway Dr
Suite 200
Deerfield Beach, FL 33441

Changed: 08/30/2021
Mailing Address
401 Fairway Dr
Suite 200
Deerfield Beach, FL 33441

Changed: 08/30/2021
Registered Agent Name & Address CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301

Name Changed: 03/12/2024

Address Changed: 03/12/2024
Officer/Director Detail Name & Address

Title P

SORTINO, JOHN
401 FAIRWAY DR
SUITE 200
DEERFIELD BEACH, FL 33441

Title CFO

Bunting, Jeffrey
401 Fairway Drive
200
Deerfield Beach, FL 33441

Annual Reports
Report YearFiled Date
2022 01/31/2022
2023 07/13/2023
2024 02/21/2024