| Entity Name: | TOTAL VITALITY MEDICAL OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Aug 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Aug 2021 (3 years ago) |
| Document Number: | L18000020240 |
| FEI/EIN Number | 82-4107878 |
| Address: | 450 Knights Run Ave, Unit 1901, Tampa, FL, 33602, US |
| Mail Address: | PO Box 7982, Seminole, FL, 33775, US |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053876979 | 2019-02-05 | 2019-02-05 | PO BOX 7982, SEMINOLE, FL, 337757982, US | 2840 N HIAWASSEE RD, ORLANDO, FL, 328183319, US | |||||||||||||||||||||||
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| Phone | +1 407-720-9688 |
| Fax | 4077205790 |
Authorized person
| Name | JENNIFER A FRIEND |
| Role | ADMINISTRATOR |
| Phone | 7278491309 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| White Amber | Agent | 14298 Herrick Circle S, Largo, FL, 33774 |
| Name | Role | Address |
|---|---|---|
| Wolstein Brian | Manager | 450 Knights Run Ave, Tampa, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-08-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 450 Knights Run Ave, Unit 1901, Tampa, FL 33602 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-14 | White , Amber | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 14298 Herrick Circle S, Largo, FL 33774 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 450 Knights Run Ave, Unit 1901, Tampa, FL 33602 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-08-27 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
