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VB MED LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BOISSELLE, VICTORIA A, PDST Agent 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578

President

Name Role Address
BOISSELLE, VICTORIA A President 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578

Director

Name Role Address
BOISSELLE, VICTORIA A Director 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578

Secretary

Name Role Address
BOISSELLE, VICTORIA A Secretary 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578

Treasurer

Name Role Address
BOISSELLE, VICTORIA A Treasurer 12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578

Documents

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