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VIBRANT MED SOLUTIONS, INC

Company Details

Entity Name: VIBRANT MED SOLUTIONS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Mar 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Oct 2023 (a year ago)
Document Number: P22000023014
FEI/EIN Number 87-1095715
Address: 5846 S FLAMINGO RD, 359, COOPER CITY, FL, 33330
Mail Address: 5846 S FLAMINGO RD, 359, COOPER CITY, FL, 33330
ZIP code: 33330
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699498006 2022-09-21 2022-09-21 5846 S FLAMINGO RD # 359, COOPER CITY, FL, 333303237, US 7520 NW 5TH ST STE 206, PLANTATION, FL, 333171613, US

Contacts

Phone +1 239-961-9717

Authorized person

Name BOBBIE ROGERS
Role CEO
Phone 2399619717

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes
Taxonomy Code 363LA2100X - Acute Care Nurse Practitioner
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary No

Agent

Name Role Address
Rogers Bobbie Agent 5846 S. FLAMINGO, COOPER CITY, FL, 33330

President

Name Role Address
ROGERS BOBBIE H President 5846 S. Flamingo # 359, Cooper City, FL, 33330

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-03 No data No data
REGISTERED AGENT NAME CHANGED 2023-10-03 Rogers, Bobbie No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
REINSTATEMENT 2023-10-03
Domestic Profit 2022-03-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State