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VICE MEDICAL LLC

Company Details

Entity Name: VICE MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Oct 2022 (2 years ago)
Document Number: L22000441380
FEI/EIN Number N/A
Address: 8401 Lake Worth Rd suite 115, Lake Worth, FL 33467
Mail Address: 8401 Lake Worth Rd suite 115, Lake Worth, FL 33467
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205547429 2022-12-08 2024-02-14 8401 LAKE WORTH RD STE 115, LAKE WORTH, FL, 334672400, US 8401 LAKE WORTH RD STE 115, LAKE WORTH, FL, 334672400, US

Contacts

Phone +1 561-910-0566
Fax 5612096876

Authorized person

Name MUHAMMAD TINA
Role MANAGER
Phone 5619100566

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role
NOBLE LAW FIRM P.A. Agent

Manager

Name Role Address
TINA, MUHAMMAD Manager 3900 WOODLAKE BLVD SUITE 306F, GREENACRES, FL 33463

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-19 8401 Lake Worth Rd suite 115, Lake Worth, FL 33467 No data
CHANGE OF MAILING ADDRESS 2023-01-19 8401 Lake Worth Rd suite 115, Lake Worth, FL 33467 No data

Documents

Name Date
ANNUAL REPORT 2024-03-30
ANNUAL REPORT 2023-01-19
Florida Limited Liability 2022-10-13

Date of last update: 11 Jan 2025

Sources: Florida Department of State