| Entity Name: | VITALITYSYNC SOLUTIONS MSO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Jun 2024 (8 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Sep 2024 (4 months ago) |
| Document Number: | L24000259281 |
| Address: | 258 E. ALTAMONTE DR., 2002, ALTAMONTE SPRINGS, FL 32701 |
| Mail Address: | 478 E. ALTAMONTE DR, 108, ALTAMONTE SPRINGS, FL 32701 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1720821374 | 2024-06-13 | 2024-06-13 | 478 E ALTAMONTE DR STE 108, ALTAMONTE SPRINGS, FL, 327014622, US | 258 E ALTAMONTE DR STE 2002, ALTAMONTE SPRINGS, FL, 327014332, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-459-0785 |
| Fax | 3212803950 |
Authorized person
| Name | MR. ERIC JAVIER NIEVES SR. |
| Role | MANAGER |
| Phone | 4074590785 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1000X - Migrant Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| PHCS, LLC | Agent |
| Name | Role |
|---|---|
| PHCS, LLC | Manager |
| Name | Role | Address |
|---|---|---|
| SANTANA, ISRAEL D, III | Authorized Member | 478 E. ALTAMONTE DR. SUITE 108, ALTAMONTE SPRINGS, FL 32701 |
| SEIFERT, WALTER L | Authorized Member | 478 E ALTAMONTE DR STE 108, ALTAMONTE SPRINGS, FL 32701 |
| VALLE, JORDANA A | Authorized Member | 10513 ROCKING A RUN, ORLANDO, FL 32825 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000124731 | VSS MEDICAL | ACTIVE | 2024-10-07 | 2029-12-31 | No data | 478 E. ALTAMONTE DR., SUITE 108, ALTAMONTE SPRINGS, FL, 32701 |
| G24000096254 | VITALITYSYNC SOLUTIONS MSO, LLC DBA VSS MEDICAL | ACTIVE | 2024-08-13 | 2029-12-31 | No data | 478 E. ALTAMONTE DR., SUITE 108, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-09-17 | No data | No data |
| LC AMENDMENT | 2024-08-21 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-21 |
| Florida Limited Liability | 2024-06-06 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
