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VHW MEDICAL GROUP, LLC

Company Details

Entity Name: VHW MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Oct 2020 (4 years ago)
Document Number: L20000332750
FEI/EIN Number 85-3685596
Mail Address: 21150 Biscayne Blvd, Suite #406, Aventura, FL 33180
Address: 777 SE 20th St., Suite 200, Ft. Lauderdale, FL 33316-3573
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700478492 2021-02-04 2022-12-23 777 SE 20TH ST STE 200, FT LAUDERDALE, FL, 333163589, US 777 SE 20TH ST STE 200, FT LAUDERDALE, FL, 333163589, US

Contacts

Phone +1 954-302-7717

Authorized person

Name MR. MATTHEW COOPER
Role OWNER
Phone 3059786689

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary No
Taxonomy Code 207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes
Taxonomy Code 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary No
Taxonomy Code 213E00000X - Podiatrist
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No

Agent

Name Role Address
Mills, Kevin Agent 777 SE 20th St., Suite 200, Ft. Lauderdale, FL 33316-3573

Manager

Name Role Address
Mills, Kevin Manager 404 Washington Ave. Suite 120, Miami Beach, FL 33139
Cooper, Matthew Manager 404 Washington Ave. Suite 120, Miami Beach, FL 33139

Authorized Member

Name Role
USA SPORTS MEDICINE PARENT COMPANY LLC Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000068574 USA SPORTS MEDICINE ACTIVE 2024-05-31 2029-12-31 No data 21150 BISCAYNE BLVD, SUITE #406, AVENTURA, FL, 33180
G22000069826 USA SPORTS MEDICINE FLORIDA ACTIVE 2022-06-07 2027-12-31 No data 404 WASHINGTON AVE. SUITE 120, MIAMI BEACH, FL, 33139
G21000017477 ANODYNE OF WEST PALM BEACH ACTIVE 2021-02-04 2026-12-31 No data 6532 VIA ROSA, BOCA RATON, FL, 33433
G20000145042 ANODYNE OF BOCA RATON ACTIVE 2020-11-11 2025-12-31 No data 6201 N FEDERAL HIGHWAY, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-14 777 SE 20th St., Suite 200, Ft. Lauderdale, FL 33316-3573 No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-23 777 SE 20th St., Suite 200, Ft. Lauderdale, FL 33316-3573 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-23 777 SE 20th St., Suite 200, Ft. Lauderdale, FL 33316-3573 No data
REGISTERED AGENT NAME CHANGED 2022-05-25 Mills, Kevin No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-30
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-05-25
ANNUAL REPORT 2021-09-07
Florida Limited Liability 2020-10-28

Date of last update: 15 Jan 2025

Sources: Florida Department of State