| Entity Name: | VIDA MEDICAL ALLIANCE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Apr 2022 (3 years ago) |
| Document Number: | P22000029083 |
| FEI/EIN Number | 88-2080504 |
| Address: | 4130 14TH ST NE, ST PETERSBURG, FL 33703 |
| Mail Address: | 4130 14TH ST NE, ST PETERSBURG, FL 33703 |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215636022 | 2023-03-01 | 2023-03-01 | 4130 14TH ST NE, ST PETERSBURG, FL, 337035328, US | 4130 14TH ST NE, ST PETERSBURG, FL, 337035328, US | |||||||||||||||||||||||
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| Phone | +1 813-431-9787 |
| Fax | 4075304326 |
Authorized person
| Name | KAREM M FEELEY |
| Role | CEO |
| Phone | 8134319787 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAPPAPORT, MARK | Agent | 1135 PASADENA AVE S, SUITE 250, SOUTH PASADENA, FL 33707 |
| Name | Role | Address |
|---|---|---|
| FEELEY, KAREM M | President | 4130 14TH ST NE, ST PETERSBURG, FL 33703 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-24 |
| Domestic Profit | 2022-04-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
