| Entity Name: | VITAL CARE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 May 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P08000045713 |
| FEI/EIN Number | 262611292 |
| Address: | 2188 JOG ROAD, GREENACRES, FL, 33415, US |
| Mail Address: | 2188 JOG ROAD, GREENACRES, FL, 33415, US |
| ZIP code: | 33415 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003126012 | 2010-10-12 | 2010-10-12 | 2188 JOG RD, GREENACRES, FL, 334156016, US | 2188 JOG RD, GREENACRES, FL, 334156016, US | |||||||||||||||||||
|
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| Phone | +1 561-439-0850 |
| Fax | 5614390819 |
Authorized person
| Name | JOSE DOLORES GIL |
| Role | MEDICAL DIRECTOR |
| Phone | 5614390850 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800024747 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERRY ADAM MD | Agent | 2188 JOG ROAD, GREENACRES, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| BERRY ADAM MD | President | 3330 FAIRCHILD GARDENS AVE, WEST PALM BEACH, FL, 33420 |
| Name | Role | Address |
|---|---|---|
| BERRY ADAM MD | Chief Executive Officer | 3330 FAIRCHILD GARDENS AVE, WEST PALM BEACH, FL, 33420 |
| Name | Role | Address |
|---|---|---|
| BERRY JERISA DO | Vice President | 3330 FAIRCHILD GARDENS AVE, WEST PALM BEACH, FL, 33420 |
| Name | Role | Address |
|---|---|---|
| BERRY JERISA DO | Secretary | 3330 FAIRCHILD GARDENS AVE, WEST PALM BEACH, FL, 33420 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000085567 | NEUROPATHY & PAIN RELIEF OF SOUTH FLORIDA | EXPIRED | 2019-08-13 | 2024-12-31 | No data | 2188 S. JOG ROAD, GREENACRES, FL, 33415 |
| G09000152176 | ALZHEIMER'S DAY CARE CENTER OF GREENACRES | EXPIRED | 2009-09-03 | 2014-12-31 | No data | 2166 JOG ROAD, GREENACRES, FL, 33415 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-06-30 | 2188 JOG ROAD, GREENACRES, FL 33415 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-06-30 | 2188 JOG ROAD, GREENACRES, FL 33415 | No data |
| AMENDMENT | 2016-06-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-06-30 | BERRY, ADAM, MD | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-10 | 2188 JOG ROAD, GREENACRES, FL 33415 | No data |
| AMENDMENT | 2008-12-09 | No data | No data |
| AMENDMENT | 2008-08-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| Off/Dir Resignation | 2016-06-30 |
| Amendment | 2016-06-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
