| Entity Name: | INTEGRATIVE HEALTH OF TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 May 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L11000058704 |
| FEI/EIN Number | 452308427 |
| Address: | 3842 FLATIRON LOOP, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 3842 FLATIRON LOOP, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154624385 | 2010-12-09 | 2011-11-29 | 1722 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335448640, US | 1722 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335448640, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-929-3700 |
| Fax | 8139293711 |
Authorized person
| Name | JONATHAN BERNS |
| Role | CEO |
| Phone | 8139293700 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8992 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS11335 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | OS11335 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KABA CONSULTING INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BERNS JONATHAN F | Manager | 3842 FLATIRON LOOP, WESLEY CHAPEL, FL, 33544 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000124128 | INTEGRATIVE PHYSICAL MEDICINE | EXPIRED | 2011-12-20 | 2016-12-31 | No data | 1722 BRUCE B. DOWNS BLVD., WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-29 | 3842 FLATIRON LOOP, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-29 | 3842 FLATIRON LOOP, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 1655 E HWY 50, STE 203, CLERMONT, FL 34711 | No data |
| LC AMENDMENT | 2012-04-20 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000726822 | ACTIVE | 1000000726026 | PASCO | 2016-11-03 | 2026-11-10 | $ 875.02 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644 |
| J16000417901 | LAPSED | 2014-CA-001751-CA-AX-ES | 6TH JUD CIR CT PASCO CTY FL | 2016-06-14 | 2021-07-11 | $91,811.91 | REGIONS BANK, SPECIAL ASSETS DEPARTMENT, 1180 WEST PEACHTREE NW, ATLANTA, GA 30309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-01-17 |
| LC Amendment | 2012-04-20 |
| ANNUAL REPORT | 2012-02-12 |
| Florida Limited Liability | 2011-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
