Entity Name: | VITAL HEALTHCARE SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 Jul 2021 (4 years ago) |
Document Number: | L21000326187 |
FEI/EIN Number | 87-1786398 |
Address: | 2620 N AUSTRALIAN AVE, STE 109, WEST PALM BEACH, FL, 33407, US |
Mail Address: | 2620 N AUSTRALIAN AVE, STE 109, WEST PALM BEACH, FL, 33407, US |
ZIP code: | 33407 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1396445987 | 2023-03-03 | 2023-04-27 | 7356 EDISTO DR, LAKE WORTH, FL, 334677734, US | 7356 EDISTO DR, LAKE WORTH, FL, 334677734, US | |||||||||||||
|
Phone | +1 561-317-8778 |
Authorized person
Name | GUERLYNE OPHIN ESTIME |
Role | OWNER |
Phone | 5613178778 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ESTIME GUERLYNE O | Agent | 7356 EDISTO DR., LAKE WORTH, FL, 33467 |
Name | Role | Address |
---|---|---|
ESTIME FRITZNAUD | Manager | 7356 Edisto Dr., Lake Worth, FL, 33467 |
Estime Guerlyne | Manager | 7356 EDISTO DR., LAKE WORTH FL, FL, 33467 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-06-05 | 2620 N AUSTRALIAN AVE, STE 109, WEST PALM BEACH, FL 33407 | No data |
CHANGE OF MAILING ADDRESS | 2023-06-05 | 2620 N AUSTRALIAN AVE, STE 109, WEST PALM BEACH, FL 33407 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-09 |
ANNUAL REPORT | 2023-01-03 |
ANNUAL REPORT | 2022-04-27 |
Florida Limited Liability | 2021-07-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State