Entity Name: | VANTAGE MEDICAL BILLING SOLUTIONS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 12 Jun 2023 (2 years ago) |
Document Number: | L23000282007 |
FEI/EIN Number | 93-1862063 |
Address: | 4210 NW 45TH ST, LAUDERDALE LAKES, FL 33319 |
Mail Address: | 4210 NW 45TH ST, LAUDERDALE LAKES, FL 33319 |
ZIP code: | 33319 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851126353 | 2024-09-04 | 2024-09-04 | 4210 NW 45TH ST, LAUDERDALE LAKES, FL, 333193871, US | 4210 NW 45TH ST, LAUDERDALE LAKES, FL, 333193871, US | |||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 954-649-5849 |
Fax | 9546779803 |
Authorized person
Name | MRS. REGINALE HARRELL |
Role | CEO |
Phone | 9546495849 |
Taxonomy
Taxonomy Code | 101Y00000X - Counselor |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | No |
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
HARRELL, REGINALE C | Agent | 4210 NW 45TH ST, LAUDERDALE LAKES, FL 33319 |
Name | Role | Address |
---|---|---|
HARRELL, REGINALE C | Manager | 4210 NW 45TH ST, LAUDERDALE LAKES, FL 33319 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-16 |
ANNUAL REPORT | 2024-03-13 |
Florida Limited Liability | 2023-06-12 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State