| Entity Name: | SOUTH FLORIDA INTEGRATIVE MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Aug 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Oct 2013 (11 years ago) |
| Document Number: | L13000117992 |
| FEI/EIN Number | 46-3825181 |
| Address: | 5915 PONCE DE LEON BLVD., SUITE 26, MIAMI, FL 33146 |
| Mail Address: | 5915 PONCE DE LEON BLVD., SUITE 26, MIAMI, FL 33146 |
| ZIP code: | 33146 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952779977 | 2015-09-08 | 2015-09-08 | 5915 PONCE DE LEON BLVD STE 26, CORAL GABLES, FL, 331462435, US | 5915 PONCE DE LEON BLVD STE 26, CORAL GABLES, FL, 331462435, US | |||||||||||||||||||||||||||
|
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| Phone | +1 786-664-7810 |
| Fax | 3053402646 |
Authorized person
| Name | HUGH HUMPHERY |
| Role | PSYCHIATRIST |
| Phone | 7866647810 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-13-14627 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8545 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HUMPHERY, HUGH H | Agent | 5915 PONCE DE LEON BLVD., SUITE 26, MIAMI, FL 33146 |
| Name | Role | Address |
|---|---|---|
| HUMPHERY, REED H | Managing Member | 5915 PONCE DE LEON BLVD., SUITE 26, MIAMI, FL 33146 |
| HUGH HUMPHERY, MD, LLC | Managing Member | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2013-10-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
