Entity Name: | INDEPENDENCE MEDICAL SERVICES P.C., INC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Profit |
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 Oct 2016 (9 years ago) |
Date of dissolution: | 22 Sep 2017 (8 years ago) |
Last Event: | REVOKED FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2017 (8 years ago) |
Document Number: | F16000004506 |
FEI/EIN Number |
813477055
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1 INTERNATIONAL PLAZA, STE. 550, PHILADELPHIA, PA, 19113, US |
Mail Address: | 7000 W PALMETTO PARK RD., SUITE 205, BOCA RATON, FL, 33433, US |
Place of Formation: | PENNSYLVANIA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1215481312 | 2016-08-08 | 2016-08-08 | 7000 W PALMETTO PARK RD STE 205, BOCA RATON, FL, 334333430, US | 7000 W PALMETTO PARK RD STE 205, BOCA RATON, FL, 334333430, US | |||||||||||||||||||
|
Phone | +1 855-200-8262 |
Fax | 5615845849 |
Authorized person
Name | AMJAD SAFVI |
Role | MEDICAL DOCTOR |
Phone | 8552008262 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | MD453599 |
State | PA |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SAFVI AMJAD MD | Chairman | 208 LASALLE ST, STE. 214, CHICAGO, IL, 60604 |
SAFVI AMJAD MD | President | 208 LASALLE ST, STE. 214, CHICAGO, IL, 60604 |
WIMBLEDON HEALTH PARTNERS LLC | Agent | - |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REVOKED FOR ANNUAL REPORT | 2017-09-22 | - | - |
Name | Date |
---|---|
Foreign Profit | 2016-10-04 |
Date of last update: 02 May 2025
Sources: Florida Department of State