| Entity Name: | INTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 Aug 2012 (12 years ago) |
| Date of dissolution: | 13 Dec 2019 (5 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 13 Dec 2019 (5 years ago) |
| Document Number: | L12000112967 |
| FEI/EIN Number | 46-0895130 |
| Address: | 1343 South International Pkwy, Lake Mary, FL, 32746, US |
| Mail Address: | 1343 South International Pkwy, Lake Mary, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043637861 | 2014-03-19 | 2016-06-01 | 1343 S INTERNATIONAL PKWY, LAKE MARY, FL, 327461401, US | 1343 S INTERNATIONAL PKWY, LAKE MARY, FL, 327461401, US | |||||||||||||||
|
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| Phone | +1 407-792-0705 |
| Fax | 4077920710 |
Authorized person
| Name | MARC OTT |
| Role | PRESIDENT |
| Phone | 4077920705 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KABA CONSULTING INC. | Agent |
| Name | Role | Address |
|---|---|---|
| INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC | Manager | 425 ALEXANDRIA BLVD., STE. 1010, OVIEDO, FL, 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000076590 | COMPLETE CARE | EXPIRED | 2019-07-15 | 2024-12-31 | No data | 1343 SOUTH INTERNATIONAL PKWY, LAKE MARY, FL, 32746 |
| G14000076815 | INTEGRATIVE PHYSICAL MEDICINE | EXPIRED | 2014-07-24 | 2019-12-31 | No data | 225 W SR 434, LONGWOOD, FL, 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-12-13 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 100000198261 |
| LC AMENDMENT | 2016-04-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-24 | 1343 South International Pkwy, Lake Mary, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-24 | 1343 South International Pkwy, Lake Mary, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-15 |
| LC Amendment | 2016-04-14 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-03-20 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-23 |
| Florida Limited Liability | 2012-08-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
