| Entity Name: | VITALITY HOSPITALISTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Aug 2024 (5 months ago) |
| Document Number: | L24000371806 |
| Mail Address: | 8112 FELISA CT, FORT MYERS, FL |
| Address: | 8112 FELISA CT, FORT MYERS, FL 33912 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154156784 | 2024-09-04 | 2024-10-21 | 8112 FELISA CT, FORT MYERS, FL, 339128951, US | 14305 COLLIER BLVD, NAPLES, FL, 341199589, US | |||||||||||||||||
|
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| Phone | +1 239-281-9252 |
Authorized person
| Name | FRANCISCO QUILES -CRUZ |
| Role | OWNER |
| Phone | 2392819252 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| QUILES, FRANCISCO | Agent | 8112 FELISA CT, FORT MYERS, FL 33912 |
| Name | Role | Address |
|---|---|---|
| QUILES, FRANCISCO | Manager | 8112 FELISA CT, FORT MYERS, FL 33912 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-23 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
