| Entity Name: | MY VITAL VIEW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2019 (5 years ago) |
| Document Number: | L19000218868 |
| FEI/EIN Number | 84-2859351 |
| Mail Address: | 1925 RIVER SHORE DRIVE, INDIALANTIC, FL 32903 |
| Address: | 2194 HIGHWAY A1A, STE 107, INDN HBR BCH, FL 32937 |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427657626 | 2020-10-20 | 2020-10-20 | 2194 HIGHWAY A1A STE 107, INDIAN HARBOUR BEACH, FL, 329374955, US | 2194 HIGHWAY A1A STE 107, INDIAN HARBOUR BEACH, FL, 329374955, US | |||||||||||||||||||||
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| Phone | +1 321-765-6317 |
| Fax | 3216004004 |
Authorized person
| Name | KELLY WALKER BEIRNE |
| Role | OWNER, ADMINISTRATOR |
| Phone | 3217656317 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FDA LICENSE |
| Number | 10061630 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BEIRNE, DANIEL | Agent | 1925 RIVER SHORE DRIVE, INDIALANTIC, FL 32903 |
| Name | Role | Address |
|---|---|---|
| BEIRNE, DANIEL | Manager | 1925 RIVER SHORE DRIVE, INDIALANTIC, FL 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-10 | 2194 HIGHWAY A1A, STE 107, INDN HBR BCH, FL 32937 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-10 | 1925 RIVER SHORE DRIVE, INDIALANTIC, FL 32903 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-27 |
| Florida Limited Liability | 2019-08-27 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
