| Entity Name: | VITAM FLORIDA HEALTH & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Feb 2022 (3 years ago) |
| Document Number: | L22000062942 |
| FEI/EIN Number | 87-1863873 |
| Address: | 130 SOUTH INDIAN RIVER DRIVE, 202, FORT PIERCE, FL, 34950, UN |
| Mail Address: | 11352 SW WYNDHAM WAY, PORT SAINT LUCIE, FL, 34987, UN |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407597230 | 2022-04-05 | 2022-06-15 | 11352 SW WYNDHAM WAY, PORT SAINT LUCIE, FL, 349872784, US | 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL, 349504353, US | |||||||||||||
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| Phone | +1 772-310-1567 |
Authorized person
| Name | KANOULD DOLCINE |
| Role | MD |
| Phone | 7723101567 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOLCINE KANOULD | Agent | 11352 SW WYNDHAM WAY, PORT SAINT LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| DOLCINE KANOULD | Managing Member | 11352 SW WYNDHAM WAY, PORT SAINT LUCIE, 34987 |
| JOSEPH Djoyce | Managing Member | 11352 SW WYNDHAM WAY, PORT SAINT LUCIE, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-21 | DOLCINE, KANOULD | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-13 |
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-14 |
| Florida Limited Liability | 2022-02-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
