| Entity Name: | VITAL CARE OF NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
VITAL CARE OF NORTH FLORIDA, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Jun 1998 (27 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P98000050287 |
| FEI/EIN Number |
593516879
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2565 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 32308 |
| Mail Address: | PO BOX 1029, MADISON, FL, 32340, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1134237126 | 2006-08-29 | 2023-03-07 | PO BOX 5047, MERIDIAN, MS, 393025047, US | 1891 CAPITAL CIR NE STE 12, TALLAHASSEE, FL, 323084486, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 800-447-4095 |
| Fax | 6014827490 |
| Phone | +1 850-668-9109 |
| Fax | 8502190282 |
Authorized person
| Name | WILBURN TURNER DAVIS |
| Role | MANAGER |
| Phone | 8506689109 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH 16329 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH 16329 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP # |
| Number | 1085477 |
| State | FL |
| Issuer | BCBS |
| Number | P7904 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS WILBURN T | President | 2130 LAROCHELLE DR, TALLAHASSEE, FL, 32308 |
| DAVIS WILBURN T | Treasurer | 3544 SW OVER STREET, GREENVILLE, FL, 32331 |
| HALEY WILLIAM J | Agent | 10 NORTH COLUMBIA ST, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 2565 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-29 | 2565 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308 | - |
| AMENDMENT | 2008-12-23 | - | - |
| CANCEL ADM DISS/REV | 2008-02-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-15 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-30 |
| Amendment | 2008-12-23 |
| REINSTATEMENT | 2008-02-01 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-26 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
