| Entity Name: | INTEGRATED PHYSICAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Oct 2009 (15 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L09000100076 |
| FEI/EIN Number | 271140027 |
| Address: | 1408 88th crt. NW, BRADENTON, FL, 34209, US |
| Mail Address: | 1408 88th Crt. NW, BRADENTON, FL, 34209, US |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194052316 | 2009-11-09 | 2010-06-14 | 4216 CORTEZ RD W, BRADENTON, FL, 342103121, US | 4216 CORTEZ RD W, BRADENTON, FL, 342103121, US | |||||||||||||||||||||
|
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| Phone | +1 941-739-2225 |
| Fax | 9417536821 |
Authorized person
| Name | DR. JEFFREY MORRISON |
| Role | PRESIDENT |
| Phone | 9417392225 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 000HG |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORRISON JEFFREY WDr. | Agent | 1408 88th CRT. NW, BRADENTON, FL, 34209 |
| Name | Role | Address |
|---|---|---|
| MORRISON JEFF WDr. | President | 1408 88th Crt. NW, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-23 | 1408 88th crt. NW, BRADENTON, FL 34209 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-23 | 1408 88th crt. NW, BRADENTON, FL 34209 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-23 | MORRISON, JEFFREY W, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-23 | 1408 88th CRT. NW, BRADENTON, FL 34209 | No data |
| LC NAME CHANGE | 2009-11-30 | INTEGRATED PHYSICAL MEDICINE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-23 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-04-12 |
| LC Name Change | 2009-11-30 |
| Florida Limited Liability | 2009-10-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
