| Entity Name: | VITALITANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Feb 2024 (a year ago) |
| Document Number: | L24000060708 |
| Address: | 2715 W SLIGH AVE, TAMPA, FL, 33614, UN |
| Mail Address: | 8809 W HAMILTON AVE, TAMPA, FL, 33615, UN |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427875145 | 2024-09-24 | 2024-09-24 | 8809 W HAMILTON AVE, TAMPA, FL, 336152723, US | 2715 W SLIGH AVE, TAMPA, FL, 336144343, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-403-2567 |
Authorized person
| Name | ANISLEY LANZA DIAZ |
| Role | PRESIDENT |
| Phone | 8134032567 |
Taxonomy
| Taxonomy Code | 2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LANZA DIAZ ANISLEY | Agent | 2715 W SLIGH AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| LANZA DIAZ ANISLEY | Manager | 2715 W SLIGH AVE, TAMPA, FL, 33614 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
