| Entity Name: | VITAL CARE TELE NP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jul 2024 (6 months ago) |
| Document Number: | L24000332631 |
| Address: | 6826 ALISO AVE, WEST PALM BEACH, FL 33413 |
| Mail Address: | 6826 ALISO AVE, WEST PALM BEACH, FL 33413 |
| ZIP code: | 33413 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124852173 | 2024-08-30 | 2024-10-30 | 6826 ALISO AVE, WEST PALM BEACH, FL, 334131036, US | 6826 ALISO AVE, WEST PALM BEACH, FL, 334131036, US | |||||||||||||
|
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| Phone | +1 561-503-0309 |
Authorized person
| Name | DEBBIE SIMONE GORDON |
| Role | OWNER |
| Phone | 5615030309 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| GORDON, DEBBIE SIMONE | Authorized Member | 6826 ALISO AVE, WEST PALM BEACH, FL 33413 10 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-29 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
