| Entity Name: | VITAL VITA WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Mar 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Jul 2024 (7 months ago) |
| Document Number: | L19000064772 |
| FEI/EIN Number | 83-4031131 |
| Address: | 2001 PALM BEACH LAKES BLVD,, WEST PALM BEACH, FL, 33409, US |
| Mail Address: | 2001 PALM BEACH LAKES BLVD,, WEST PALM BEACH, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598357733 | 2021-02-09 | 2021-02-09 | 1537 43RD ST, WEST PALM BEACH, FL, 334073607, US | 2620 N AUSTRALIAN AVE STE 109, WEST PALM BEACH, FL, 334075625, US | |||||||||||||||||||
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| Phone | +1 561-602-2682 |
| Phone | +1 754-457-8490 |
Authorized person
| Name | MISS TARANEISHA R BURGESS |
| Role | OWNER/ NURSE PRACTITIONER |
| Phone | 5616022682 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LX0106X - Occupational Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BOWE KEENAN | Agent | 2001 PALM BEACH LAKES BLVD., WEST PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| BELL JACKQUIL | Manager | 2001 PALM BEACH LAKES BLVD., SUITE 102, WEST PALM BEACH, FL, 33409 |
| LOUISE ROSE ENTERPRISE LLC | Manager | 1309 COFFEEN AVENUE SUITE 1200, SHERIDAN, WY, 82801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-07-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-07-22 | BOWE, KEENAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-22 | 2001 PALM BEACH LAKES BLVD., SUITE 102, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 2001 PALM BEACH LAKES BLVD,, SUITE 102, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 2001 PALM BEACH LAKES BLVD,, SUITE 102, WEST PALM BEACH, FL 33409 | No data |
| LC AMENDMENT | 2023-10-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| LC Amendment | 2023-10-26 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-07-28 |
| ANNUAL REPORT | 2020-05-14 |
| Florida Limited Liability | 2019-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
