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VITALOGY SKIN LAB, LLC

Company Details

Entity Name: VITALOGY SKIN LAB, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jan 2020 (5 years ago)
Document Number: L20000024539
FEI/EIN Number 84-4664902
Address: 8950 SW 74th Ct., MIAMI, FL, 33156, US
Mail Address: 8950 SW 74th Ct., MIAMI, FL, 33156, US
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083477202 2024-01-31 2024-01-31 8950 SW 74TH CT STE 2205, MIAMI, FL, 331563181, US 8950 SW 74TH CT STE 2205, MIAMI, FL, 331563181, US

Contacts

Phone +1 305-563-7877

Authorized person

Name STEPHANIE GISELLE LANDA
Role OWNER/PRESIDENT
Phone 3055637877

Taxonomy

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

Agent

Name Role Address
LANDA STEPHANIE G Agent 8950 SW 74th Ct., MIAMI, FL, 33156

Manager

Name Role Address
LANDA STEPHANIE G Manager 8950 SW 74th Ct., MIAMI, FL, 33156

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-11 8950 SW 74th Ct., Suite 2205, MIAMI, FL 33156 No data
CHANGE OF MAILING ADDRESS 2023-07-11 8950 SW 74th Ct., Suite 2205, MIAMI, FL 33156 No data
REGISTERED AGENT ADDRESS CHANGED 2023-06-28 8950 SW 74th Ct., Suite 2205, MIAMI, FL 33156 No data

Documents

Name Date
ANNUAL REPORT 2024-01-03
AMENDED ANNUAL REPORT 2023-06-28
ANNUAL REPORT 2023-01-05
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-09
Florida Limited Liability 2020-01-17

Date of last update: 03 Feb 2025

Sources: Florida Department of State