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VITAGLIDE, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ULLOM, MARCY Agent 2445 RIVERVIEW DR NE, PALM BAY, FL 32905

President

Name Role Address
STEVENSON, HUGH President 2445 RIVERVIEW DR NE, PALM BAY, FL 32905

Chief Executive Officer

Name Role Address
ULLOM, MARCY Chief Executive Officer 2445 RIVERVIEW DR NE, PALM BAY, FL 32905

Manager

Name Role Address
Vrooman, Paul Manager 135 Brown Pelican Drive, Savannah, GA 31419

Events

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

Documents

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