| Entity Name: | VITALIEF MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2020 (5 years ago) |
| Document Number: | P20000059468 |
| FEI/EIN Number | 85-2398293 |
| Address: | 1456 S SEMORAN BLVD, ORLANDO, FL, 32807, US |
| Mail Address: | 1456 S SEMORAN BLVD, ORLANDO, FL, 32807, US |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508531153 | 2021-08-14 | 2024-08-27 | 1456 S SEMORAN BLVD, ORLANDO, FL, 328072918, US | 1456 S SEMORAN BLVD, ORLANDO, FL, 328072918, US | |||||||||||||||
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| Phone | +1 321-800-6123 |
| Fax | 4075985583 |
Authorized person
| Name | MR. RAUL CASTILLO |
| Role | OWNER |
| Phone | 7862344956 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTILLO RAUL | Agent | 7986 SW 187 TER, CUTLER BAY, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| PLACERES MONTERO ALEXANDER | President | 2517 HOMEWOOD DR FL 32809, BELLE ISLE, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| CASTILLO RAUL | Vice President | 7986 SW 187 TER, CUTLER BAY, FL, 33157 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-09 |
| Domestic Profit | 2020-07-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
