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METAVIDA LLC - Florida Company Profile

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Company Details

Entity Name: METAVIDA LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 15 Mar 2024 (a year ago)
Document Number: M24000003397
Address: 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
Mail Address: 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
TAITELMAN ANDREW M Authorized Person 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
HOLLOWAY GARY MSR. Authorized Person 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
DIGIUSEPPE ROBERT Authorized Person 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
HOLLOWAY MICHAEL SR. Authorized Person 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
MALLOY TAMMY Authorized Person 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
SACUNAS ABBY Authorized Person 10 CAMPUS BLVD., NEWTOWN SQUARE, PA, 19073
- Agent -

National Provider Identifier

NPI Number:
1982450540
Certification Date:
2024-04-25

Authorized Person:

Name:
DR. TAMMY MALLOY
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
Foreign Limited 2024-03-15

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Date of last update: 03 Jul 2025

Sources: Florida Department of State