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VITAL MEDICAL GROUP INC - Florida Company Profile

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Company Details

Entity Name: VITAL MEDICAL GROUP INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Dec 2024 (8 months ago)
Document Number: P25000000031
Address: 1401 SW 1 ST 101, STE 101, MIAMI, FL, 33135, US
Mail Address: 1401 SW 1 ST 101, STE 101, MIAMI, FL, 33135, US
ZIP code: 33135
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Role
Agent
President

National Provider Identifier

NPI Number:
1790598472
Certification Date:
2025-01-28

Authorized Person:

Name:
MALKIEL NIETO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3056038782

Documents

Name Date
Domestic Profit 2024-12-30

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Date of last update: 01 Aug 2025

Sources: Florida Department of State