| Entity Name: | VIPA HEALTH SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Dec 2000 (24 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Dec 2016 (8 years ago) |
| Document Number: | L00000014917 |
| FEI/EIN Number | 651098500 |
| Address: | 8000 SW 117th Avenue, PHC, MIAMI, FL, 33183, US |
| Mail Address: | 8000 SW 117 AVE, PHC, MIAMI, FL, 33183, US |
| ZIP code: | 33183 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508530114 | 2021-08-06 | 2021-08-06 | 8000 SW 117TH AVE PH C, KENDALL, FL, 331834816, US | 8000 SW 117TH AVE PH C, KENDALL, FL, 331834816, US | |||||||||||||||||||||
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| Phone | +1 305-227-7780 |
| Fax | 3052783033 |
Authorized person
| Name | MR. RUBEN GARCIA |
| Role | CEO |
| Phone | 3052277780 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015185000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PALOMO, MD ANDRES | Agent | 8000 SW 117th Avenue, MIAMI, FL, 33183 |
| Name | Role | Address |
|---|---|---|
| PALOMO ANDRES | Manager | 8000 SW 117 AVE, MIAMI, FL, 33183 |
| GARCIA RUBEN | Manager | 8000 SW 117TH AVE, MIAMI, FL, 33183 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000039263 | SMARTEMR | ACTIVE | 2017-04-12 | 2027-12-31 | No data | 8000 SW 117TH AVENUE, PH-C, KENDALL, FL, 33183 |
| G09000134721 | SMARTEMR | EXPIRED | 2009-07-14 | 2014-12-31 | No data | 7171 S.W. 62ND AVE, STE. 301, MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-16 | 8000 SW 117th Avenue, PH-C, MIAMI, FL 33183 | No data |
| LC AMENDMENT | 2016-12-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-06-14 | 8000 SW 117th Avenue, PHC, MIAMI, FL 33183 | No data |
| CHANGE OF MAILING ADDRESS | 2013-06-14 | 8000 SW 117th Avenue, PHC, MIAMI, FL 33183 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-18 | PALOMO, MD, ANDRES | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-16 |
| LC Amendment | 2016-12-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
