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VIA HEALTHCARE, LLC

Company Details

Entity Name: VIA HEALTHCARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 24 Jun 2019 (6 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L19000165923
FEI/EIN Number 84-2190417
Address: 1341 BEDFORD DR, STE B, MELBOURNE, FL 32940
Mail Address: 1341 BEDFORD DR, STE B, MELBOURNE, FL 32940
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467014431 2019-07-01 2019-07-01 1341 BEDFORD DR, MELBOURNE, FL, 329401986, US 1341 BEDFORD DR, MELBOURNE, FL, 329401986, US

Contacts

Phone +1 321-622-8031
Fax 3216107487

Authorized person

Name MISS DANIELLE LYNNE FRALEY
Role OFFICE MANAGER
Phone 3216228031

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
GIORGIANNI, STEPHEN M Agent 1341 BEDFORD DR, STE B, MELBOURNE, FL 32940

Manager

Name Role Address
GIORGIANNI, STEPHEN M Manager 1341 BEDFORD DR STE B, MELBOURNE, FL 32940

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-14
Florida Limited Liability 2019-06-24

Date of last update: 16 Jan 2025

Sources: Florida Department of State