| Entity Name: | VITALITY NP GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 May 2023 (2 years ago) |
| Document Number: | L23000231899 |
| FEI/EIN Number | 93-1343639 |
| Address: | 3475 PRAIRIE AVENUE, SUITE 1, MIAMI BEACH, FL 33140 |
| Mail Address: | 685 RIVER AVENUE, SUITE 3, LAKEWOOD, NJ 08701 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235822784 | 2023-05-31 | 2023-06-22 | 685 RIVER AVE UNIT 3, LAKEWOOD, NJ, 087015288, US | 3475 PRAIRIE AVE, MIAMI BEACH, FL, 331403428, US | |||||||||||||||||||||||
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| Phone | +1 732-486-7373 |
| Fax | 7322827200 |
Authorized person
| Name | ETTIE TRESS |
| Role | OWNER |
| Phone | 7324867373 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TRESS, ZVI | Agent | 3475 PRAIRIE AVENUE, SUITE 1, MIAMI BEACH, FL 33140 |
| Name | Role | Address |
|---|---|---|
| TRESS, ETTIE | Authorized Representative | 685 RIVER AVENUE, LAKEWOOD, NJ 08701 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-02-07 |
| Florida Limited Liability | 2023-05-10 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
