| Entity Name: | ESSENTIAL INTEGRATIVE MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Sep 2012 (12 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 19 Jan 2018 (7 years ago) |
| Document Number: | L12000117345 |
| FEI/EIN Number | 46-0992045 |
| Address: | 3715 W. AZEELE ST, TAMPA, FL 33609 |
| Mail Address: | 3715 W. AZEELE ST, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134470255 | 2012-09-28 | 2015-03-12 | 3715 W AZEELE ST, TAMPA, FL, 336092807, US | 3715 W AZEELE ST, TAMPA, FL, 336092807, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-253-0711 |
| Fax | 8132530411 |
Authorized person
| Name | DR. TAN THANG TRAN |
| Role | PRESIDENT |
| Phone | 8132530711 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME 84580 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS10332 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | PA 9104287 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TRAN, TAN | Agent | 3715 W. AZEELE ST, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| TRAN, TAN | Managing Member | 3715 W. AZEELE ST, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Tran, Thang V | Member | 3715 W. AZEELE ST, Tampa, FL 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000025475 | ESSENTIAL INTEGRATIVE MEDICINE | EXPIRED | 2019-02-08 | 2024-12-31 | No data | 129 6TH AVE N, SAFETY HARBOR, FL, 34695 |
| G19000025476 | ESSENTIAL STEM CELL | EXPIRED | 2019-02-08 | 2024-12-31 | No data | 129 6TH AVE N, SAFETY HARBOR, FL, 34695 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC DISSOCIATION MEM | 2018-01-19 | No data | No data |
| LC NAME CHANGE | 2012-12-31 | ESSENTIAL INTEGRATIVE MEDICINE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-04-18 |
| CORLCDSMEM | 2018-01-19 |
| AMENDED ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2017-02-23 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
