| Entity Name: | FUNCTIONAL HEALTH MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Sep 2012 (12 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: | L12000114318 |
| FEI/EIN Number | 46-1191679 |
| Address: | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL 33322 |
| Mail Address: | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL 33322 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003259912 | 2013-04-10 | 2013-04-10 | 2045 N UNIVERSITY DR, SUNRISE, FL, 333223936, US | 2045 N UNIVERSITY DR, SUNRISE, FL, 333223936, US | |||||||||||||||||||
|
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| Phone | +1 954-825-5832 |
| Fax | 9547427344 |
Authorized person
| Name | DR. ALEXANDER CHARLES FRANK |
| Role | MANAGER |
| Phone | 9548255832 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH10093 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRANK, ALEXANDER C | Agent | 2045 N UNIVERSITY DRIVE, SUNRISE, FL 33322 |
| Name | Role | Address |
|---|---|---|
| FRANK, ALEXANDER C | Manager | 2045 N UNIVERSITY DRIVE, SUNRISE, FL 33322 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000086082 | FLORIDA FUNCTIONAL NEUROLOGY GYM | EXPIRED | 2015-08-19 | 2020-12-31 | No data | 2045 N. UNIVERSITY DR., SUNRISE, FL, 33322 |
| G12000099607 | FLORIDA FUNCTIONAL NEUROLOGY GROUP | EXPIRED | 2012-10-11 | 2017-12-31 | No data | 2045 N. UNIVERSITY DRIVE, SUNRISE, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-29 |
| Florida Limited Liability | 2012-09-06 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
