| Entity Name: | VIP INTEGRATIVE HEALTH CARE L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Mar 2019 (6 years ago) |
| Document Number: | L19000062718 |
| FEI/EIN Number | 83-3816345 |
| Address: | 3600 Forest Hill bBvd, WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 3600 Forest Hill Blvd, suite 3, West Palm Beach, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457083727 | 2022-06-27 | 2023-09-06 | 11020 81ST CT N, PALM BEACH GARDENS, FL, 334121519, US | 3600 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065617, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-908-3764 |
| Fax | 7472200351 |
| Phone | +1 561-909-8555 |
Authorized person
| Name | MARTINE SENATUS |
| Role | OWNER |
| Phone | 5619083764 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SENATUS MARTINE | Agent | 3600 Forest Hill bBvd, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| SENATUS MARTINE | Manager | 3600 Forest Hill bBvd, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-28 | 3600 Forest Hill bBvd, Suite 3, WEST PALM BEACH, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-28 | 3600 Forest Hill bBvd, Suite 3, WEST PALM BEACH, FL 33406 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-06 | 3600 Forest Hill bBvd, Suite 3, WEST PALM BEACH, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-06 |
| AMENDED ANNUAL REPORT | 2022-07-18 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-03-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
