| Entity Name: | VITAL HEALTH & WELLNESS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 May 2023 (2 years ago) |
| Document Number: | L23000222465 |
| FEI/EIN Number | 923954004 |
| Address: | 9532 Griffin Rd, Cooper City, FL, 33328, US |
| Mail Address: | 9532 Griffin Rd, Cooper City, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053149484 | 2024-07-25 | 2024-07-25 | 8360 W OAKLAND PARK BLVD STE 115116, SUNRISE, FL, 333517332, US | 8360 W OAKLAND PARK BLVD STE 115116, SUNRISE, FL, 333517332, US | |||||||||||||
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| Phone | +1 786-475-2291 |
Authorized person
| Name | ANDY GARCIA |
| Role | OWNER/LEAD PROVIDER |
| Phone | 7864752291 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARCIA ANDY | Agent | 11488 SW 18th Ct, Miramar, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| GARCIA ANDY | Authorized Member | 11488 SW 18th Ct, Miramar, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-15 | 9532 Griffin Rd, Cooper City, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-15 | 9532 Griffin Rd, Cooper City, FL 33328 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 11488 SW 18th Ct, Miramar, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| Florida Limited Liability | 2023-05-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
