| Entity Name: | VITALOGY HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Jun 2021 (4 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: | L21000252022 |
| FEI/EIN Number | 87-0973735 |
| Address: | 811 PONCE DE LEON BLVD., CORAL GABLES, FL 33134 |
| Mail Address: | 5705 SW 107 PLACE, MIAMI, FL 33173 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538738893 | 2021-06-22 | 2021-06-22 | 811 PONCE DE LEON BLVD, CORAL GABLES, FL, 331343007, US | 811 PONCE DE LEON BLVD, CORAL GABLES, FL, 331343007, US | |||||||||||||||||||||
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| Phone | +1 786-452-9230 |
| Fax | 7867033745 |
Authorized person
| Name | LAZARO ALFARO JR. |
| Role | DIRECTOR/MEMBER |
| Phone | 7864529230 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 0973 |
| Number | NUMB |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENNETT, SCOTT B, ESQ | Agent | 3377 SW 3 AVENUE, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| ALFARO, LAZARO | Member | 5705 SW 107 PLACE, MIAMI, FL 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-06-01 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
