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VITALITY HEALTH TECHNOLOGIES LLC

Company Details

Entity Name: VITALITY HEALTH TECHNOLOGIES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 Jan 2024 (a year ago)
Document Number: L24000046329
Address: 6266 S CONGRESS AVE, L15, LANTANA, FL 33462
Mail Address: 6266 S CONGRESS AVE, L15, LANTANA, FL 33462
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396502514 2024-03-04 2024-10-04 401 LANTANA RD STE 10, LANTANA, FL, 334621725, US 401 LANTANA RD STE 10, LANTANA, FL, 334621725, US

Contacts

Phone +1 888-808-8357

Authorized person

Name MR. STEPHENSON JEROME
Role MNGR
Phone 8888088357

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
JEROME, STEPHENSON Agent 2549 FOREST HILL BLVD, WEST PALM BEACH, FL 33406

Manager

Name Role Address
AUGUSTIN, PIERRE Manager 6266 S CONGRESS AVE SUITE L15, LANTANA, FL 33462
JEROME, STEPHENSON Manager 6266 S CONGRESS AVE SUITE L15, LANTANA, FL 33462

Documents

Name Date
Florida Limited Liability 2024-01-24

Date of last update: 08 Jan 2025

Sources: Florida Department of State