| Entity Name: | VITALCARE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Feb 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Jan 2025 (14 days ago) |
| Document Number: | L24000069135 |
| Address: | 8900 CORAL WAY, STE 206, MIAMI, FL 33165 UN |
| Mail Address: | 8900 CORAL WAY, STE 206, MIAMI, FL 33165 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811733686 | 2024-07-02 | 2024-07-02 | 8900 CORAL WAY STE 206, MIAMI, FL, 331652075, US | 8900 CORAL WAY STE 206, MIAMI, FL, 331652075, US | |||||||||||||
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| Phone | +1 786-707-9428 |
Authorized person
| Name | ROYNEL MATOS |
| Role | PRESIDENT |
| Phone | 7867079428 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATOS, ROYNEL E | Agent | 8900 CORAL WAY, STE 206, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| MATOS, ROYNEL E | President | 8900 CORAL WAY, STE 206, MIAMI, FL 33165 UN |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, YEINYS | Vice President | 8900 CORAL WAY, STE 206, MIAMI, FL 33165 UN |
| Name | Role | Address |
|---|---|---|
| FRONTELA, MAIKEL FRIAS | Manager | 8900 CORAL WAY, STE 206 MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2025-01-27 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2025-01-27 |
| Florida Limited Liability | 2024-02-07 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
