| Entity Name: | VIVA HEALTH CENTERS OF LCS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Aug 2017 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Nov 2017 (7 years ago) |
| Document Number: | P17000072090 |
| FEI/EIN Number | 822845990 |
| Address: | 1441 FOREST HILL BLVD., STE. 100, WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 1441 FOREST HILL BLVD., STE. 100, WEST PALM BEACH, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861901522 | 2017-09-26 | 2022-07-21 | 1441 FOREST HILL BLVD STE 100, WEST PALM BEACH, FL, 334066095, US | 1441 FOREST HILL BLVD STE 100, WEST PALM BEACH, FL, 334066095, US | |||||||||||||||||||||||||||
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| Phone | +1 561-296-5952 |
Authorized person
| Name | HENRY FERNANDEZ |
| Role | MANAGER |
| Phone | 5613988024 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11703 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GERSON GARY N | Agent | 3001 PGA BLVD., STE. 305, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| Pomante Richard Dr. | President | 1441 FOREST HILL BLVD., STE. 100, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| Pomante Richard Dr. | Treasurer | 1441 FOREST HILL BLVD., STE. 100, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ HENRY | Secretary | 1441 FOREST HILL BLVD., STE. 100, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-11-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-26 |
| Amendment | 2017-11-20 |
| Domestic Profit | 2017-08-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
