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VIBRANT VERTEBRAE LLC

Company Details

Entity Name: VIBRANT VERTEBRAE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 May 2024 (9 months ago)
Document Number: L24000218617
Address: 500 NE Spanish River Blvd, Boca Raton, FL, 33431, US
Mail Address: 500 NE Spanish River Blvd, Boca Raton, FL, 33431, US
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821818139 2024-10-11 2024-10-11 500 NE SPANISH RIVER BLVD STE 35, BOCA RATON, FL, 334314517, US 500 NE SPANISH RIVER BLVD STE 35, BOCA RATON, FL, 334314517, US

Contacts

Phone +1 561-969-8284

Authorized person

Name DR. JOHN J FAKHOURI
Role CEO
Phone 5614209791

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
FAKHOURI JOHN J Agent 6743 SOUTHPORT DR, BOYNTON BEACH, FL, 33472

Manager

Name Role Address
FAKHOURI JOHN J Manager 6743 SOUTHPORT DR, BOYNTON BEACH, FL, 33472-691

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-18 500 NE Spanish River Blvd, Suite 35, Boca Raton, FL 33431 No data
CHANGE OF MAILING ADDRESS 2024-12-18 500 NE Spanish River Blvd, Suite 35, Boca Raton, FL 33431 No data

Documents

Name Date
Florida Limited Liability 2024-05-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State