Entity Name: | VB MED LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 02 Nov 2022 (2 years ago) |
Document Number: | L22000469949 |
FEI/EIN Number | 92-0927502 |
Address: | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
Mail Address: | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
ZIP code: | 33578 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639877053 | 2023-02-16 | 2023-02-16 | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL, 335784069, US | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL, 335784069, US | |||||||||||||||
|
Phone | +1 813-575-0363 |
Fax | 8136695614 |
Authorized person
Name | VICTORIA ALICE BOISSELLE |
Role | PRESIDENT |
Phone | 8135750363 |
Taxonomy
Taxonomy Code | 363A00000X - Physician Assistant |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BOISSELLE, VICTORIA A, PDST | Agent | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
Name | Role | Address |
---|---|---|
BOISSELLE, VICTORIA A | President | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
Name | Role | Address |
---|---|---|
BOISSELLE, VICTORIA A | Director | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
Name | Role | Address |
---|---|---|
BOISSELLE, VICTORIA A | Secretary | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
Name | Role | Address |
---|---|---|
BOISSELLE, VICTORIA A | Treasurer | 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-26 |
ANNUAL REPORT | 2023-03-03 |
Florida Limited Liability | 2022-11-02 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State