| Entity Name: | HUMANIS VITA HEALTH CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 May 2024 (9 months ago) |
| Document Number: | L24000226987 |
| FEI/EIN Number | 99-3180553 |
| Address: | 4445 WEST 16 AVE, 300, HIALEAH, FL 33012 |
| Mail Address: | 4445 WEST 16 AVE, 300, HIALEAH, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720812381 | 2024-08-27 | 2024-08-27 | 4445 W 16TH AVE STE 300, HIALEAH, FL, 330127190, US | 4445 W 16TH AVE STE 300, HIALEAH, FL, 330127190, US | |||||||||||||||
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| Phone | +1 786-778-7449 |
| Fax | 7866853908 |
Authorized person
| Name | JUAN ACOSTA GUZMAN |
| Role | OWNER |
| Phone | 7862347253 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUNKLEY, LINDSAY G | Agent | 14100 PALMETTO FRONTAGE ROAD, 201, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| ACOSTA GUZMAN, JUAN | Manager | 1755 WEST 60TH ST # D207, HIALEAH, FL 33012 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| Florida Limited Liability | 2024-05-15 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
