| Entity Name: | TOTAL VITALITY HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
TOTAL VITALITY HEALTH CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 23 Sep 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L04000069342 |
| FEI/EIN Number |
201649154
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 643 Cape Coral Pkwy East, SUITE E, CAPE CORAL, FL, 33904, US |
| Mail Address: | 643 Cape Coral Pkwy East, SUITE E, CAPE CORAL, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821252982 | 2008-07-17 | 2011-09-30 | 2717 SANTA BARBARA BLVD, # 8, CAPE CORAL, FL, 339144432, US | 2717 SANTA BARBARA BLVD, #8, CAPE CORAL, FL, 339144432, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-458-5747 |
| Fax | 2397728747 |
Authorized person
| Name | DR. KRISTINE KAY JOHNSON |
| Role | MANAGER |
| Phone | 2394585747 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH5548 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | BA793 |
| State | FL |
| Issuer | STATE LICENSE |
| Number | CH5548 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON KRISTINE K | Manager | 643 Cape Coral Pkwy East, CAPE CORAL, FL, 33904 |
| JOHNSON KRISTINE K | Agent | 643 Cape Coral Pkwy East, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-10 | 643 Cape Coral Pkwy East, SUITE E, CAPE CORAL, FL 33904 | - |
| CHANGE OF MAILING ADDRESS | 2017-01-10 | 643 Cape Coral Pkwy East, SUITE E, CAPE CORAL, FL 33904 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-10 | 643 Cape Coral Pkwy East, SUITE E, CAPE CORAL, FL 33904 | - |
| REINSTATEMENT | 2013-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-02-04 |
| ANNUAL REPORT | 2014-03-04 |
| REINSTATEMENT | 2013-10-08 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-02-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
