Entity Name: | INTEGRATIVE ACUPUNCTURE AND HEALING CENTER LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 Nov 2013 (11 years ago) |
Document Number: | L13000154992 |
FEI/EIN Number | 46-4037154 |
Address: | 317 NORTH FLORIDA AVENUE, DELAND, FL, 32720, US |
Mail Address: | 615 E Michigan Ave, DELAND, FL, 32724, US |
ZIP code: | 32720 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750815296 | 2017-04-11 | 2017-04-11 | 317 N FLORIDA AVE, DELAND, FL, 327203483, US | 317 N FLORIDA AVE, DELAND, FL, 327203483, US | |||||||||||||||||||||||
|
Phone | +1 386-215-1387 |
Authorized person
Name | TERESA TOLEDO |
Role | DIPLOMATE OF ORIENTAL MEDICINE |
Phone | 3862151387 |
Taxonomy
Taxonomy Code | 171100000X - Acupuncturist |
License Number | 3330 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS, AETNA, HUMANA, CIGNA |
Number | 1548660640 |
State | FL |
Name | Role | Address |
---|---|---|
TOLEDO HERIBERTO R | Agent | 317 N Florida Ave, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
TOLEDO TERESA A | President | 317 NORTH FLORIDA AVENUE, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
TOLEDO HERIBERTO R | Vice President | 317 NORTH FLORIDA AVENUE, DELAND, FL, 32720 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-02-22 | 317 NORTH FLORIDA AVENUE, DELAND, FL 32720 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-07 | 317 N Florida Ave, DELAND, FL 32720 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-22 |
ANNUAL REPORT | 2023-04-18 |
ANNUAL REPORT | 2022-04-07 |
ANNUAL REPORT | 2021-03-18 |
ANNUAL REPORT | 2020-05-29 |
ANNUAL REPORT | 2019-04-22 |
ANNUAL REPORT | 2018-07-30 |
ANNUAL REPORT | 2017-09-14 |
ANNUAL REPORT | 2016-04-04 |
ANNUAL REPORT | 2015-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State