Entity Name: | VITAGLIDE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 27 Jun 2012 (13 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 10 Nov 2022 (2 years ago) |
Document Number: | L12000085893 |
FEI/EIN Number | 46-5295299 |
Address: | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 |
Mail Address: | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 |
ZIP code: | 32905 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1023743879 | 2022-07-17 | 2022-07-17 | 2445 RIVERVIEW DR NE, PALM BAY, FL, 329052515, US | 419 HAWK ST, ROCKLEDGE, FL, 329553291, US | |||||||||||||||
|
Phone | +1 305-586-2250 |
Phone | +1 305-514-0514 |
Authorized person
Name | MARCELYN SUE ULLOM |
Role | CHIEF EXECUTIVE OFFICER |
Phone | 3055140514 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ULLOM, MARCY | Agent | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 |
Name | Role | Address |
---|---|---|
STEVENSON, HUGH | President | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 |
Name | Role | Address |
---|---|---|
ULLOM, MARCY | Chief Executive Officer | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 |
Name | Role | Address |
---|---|---|
Vrooman, Paul | Manager | 135 Brown Pelican Drive, Savannah, GA 31419 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2022-11-10 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-11-10 | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 | No data |
CHANGE OF MAILING ADDRESS | 2022-11-10 | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-11-10 | 2445 RIVERVIEW DR NE, PALM BAY, FL 32905 | No data |
LC AMENDMENT | 2020-01-13 | No data | No data |
LC NAME CHANGE | 2014-07-07 | VITAGLIDE, LLC | No data |
LC NAME CHANGE | 2014-04-14 | MANDH GROUP LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-15 |
ANNUAL REPORT | 2024-01-22 |
AMENDED ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2023-01-23 |
LC Amendment | 2022-11-10 |
ANNUAL REPORT | 2022-01-21 |
ANNUAL REPORT | 2021-01-28 |
ANNUAL REPORT | 2020-01-17 |
LC Amendment | 2020-01-13 |
ANNUAL REPORT | 2019-02-10 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State