| Entity Name: | VITAL PSYCH MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Oct 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Aug 2024 (5 months ago) |
| Document Number: | L21000456271 |
| FEI/EIN Number | 87-3205984 |
| Address: | 6928 SW 39TH ST, # 208A, DAVIE, FL, 33314, US |
| Mail Address: | 66 West Flagler Street Suite 900, Miami, FL, 33130, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | VITAL PSYCH MD LLC, NEW YORK | 7444810 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790418507 | 2022-07-08 | 2024-05-24 | 66 W FLAGLER ST STE 900, MIAMI, FL, 331301807, US | 66 W FLAGLER ST STE 900, MIAMI, FL, 331301807, US | |||||||||||||||
|
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| Phone | +1 610-306-2618 |
| Fax | 9498636470 |
Authorized person
| Name | KALVIN KAPOOR |
| Role | OWNER |
| Phone | 6103062618 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ZENBUSINESS INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KAPOOR KALVIN K | Authorized Member | 6928 SW 39TH ST # 208A, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-22 | 6928 SW 39TH ST, # 208A, DAVIE, FL 33314 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-22 | 6928 SW 39TH ST, # 208A, DAVIE, FL 33314 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-27 |
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-06-22 |
| Florida Limited Liability | 2021-10-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
