| Entity Name: | VIP HEALTH AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Dec 2016 (8 years ago) |
| Date of dissolution: | 17 Sep 2024 (4 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Sep 2024 (4 months ago) |
| Document Number: | L16000231641 |
| FEI/EIN Number | 81-4995025 |
| Address: | 1400 SE GOLDTREE DRIVE,, SUITE 207, PORT SAINT LUCIE, FL 34952 |
| Mail Address: | 1400 SE GOLDTREE DRIVE,, SUITE 207, PORT SAINT LUCIE, FL 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003352881 | 2017-01-17 | 2017-01-17 | 3318 SW BLUE CT, PORT ST LUCIE, FL, 349533559, US | 3318 SW BLUE CT, PORT ST LUCIE, FL, 349533559, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 772-370-3211 |
Authorized person
| Name | GITANA NG |
| Role | NURSE PRACTITIONER |
| Phone | 7723703211 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | 2776282 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | 9213298 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | 9231419 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NG, GITANA | Agent | 1400 SE GOLDTREE DRIVE,, SUITE 207, PORT SAINT LUCIE, FL 34952 |
| Name | Role | Address |
|---|---|---|
| NG, GITANA | Manager | 1400 SE GOLDTREE DRIVE,, SUITE 207 PORT SAINT LUCIE, FL 34952 |
| REID, MICHELLE | Manager | 1400 SE GOLDTREE DRIVE,, SUITE 207 PORT SAINT LUCIE, FL 34952 |
| ARIAS, ROSEMARY | Manager | 1400 SE GOLDTREE DRIVE,, SUITE 207 PORT SAINT LUCIE, FL 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000045230 | PATIENT'S CHOICE PRIMARY CARE ASSOCIATES | EXPIRED | 2018-04-08 | 2023-12-31 | No data | 1400 SE GOLDTREE DRIVE SUITE 207, PORT SAINT LUCIE, FL, 34952 |
| G17000008553 | PATIENT'S CHOICE PRIMARY CARE | EXPIRED | 2017-01-24 | 2022-12-31 | No data | 1860 PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-09-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-03 | NG, GITANA | No data |
| REINSTATEMENT | 2023-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2018-05-04 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-10 | 1400 SE GOLDTREE DRIVE,, SUITE 207, PORT SAINT LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-20 | 1400 SE GOLDTREE DRIVE,, SUITE 207, PORT SAINT LUCIE, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-20 | 1400 SE GOLDTREE DRIVE,, SUITE 207, PORT SAINT LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-09-17 |
| ANNUAL REPORT | 2024-04-30 |
| REINSTATEMENT | 2023-10-03 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-03-30 |
| LC Amendment | 2018-05-04 |
| ANNUAL REPORT | 2018-04-10 |
| Florida Limited Liability | 2016-12-23 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
