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VITALITY INTEGRATED MEDICAL NETWORK, LLC - Florida Company Profile

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Company Details

Entity Name: VITALITY INTEGRATED MEDICAL NETWORK, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 25 May 2023 (2 years ago)
Document Number: M23000006826
FEI/EIN Number 931450714

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 275 18th Street, Vero Beach, FL, 32960, US
Mail Address: 275 18th Street, Vero Beach, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: WYOMING

Key Officers & Management

Name Role Address
LICHT ALLEN Manager 275 18th Street, Vero Beach, FL, 32960
SOUTH FLORIDA MEDICAL ASSOCIATES LLC Member -
SOUTH FLORIDA MEDICAL ASSOCIATES LLC Agent -

National Provider Identifier

NPI Number:
1366136814
Certification Date:
2024-02-02

Authorized Person:

Name:
ALLEN LICHT
Role:
MANAGING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
7722993653

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-01 275 18th Street, Suite 102, Vero Beach, FL 32960 -
CHANGE OF MAILING ADDRESS 2024-05-01 275 18th Street, Suite 102, Vero Beach, FL 32960 -
REGISTERED AGENT NAME CHANGED 2024-05-01 SOUTH FLORIDA MEDICAL ASSOCIATES LLC -
REGISTERED AGENT ADDRESS CHANGED 2024-05-01 275 18th Street, Suite 102, Vero Beach, FL 32960 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
Foreign Limited 2023-05-25

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Date of last update: 02 Jun 2025

Sources: Florida Department of State