| Entity Name: | INTERNAL MEDICINE INSTITUTE OF SOUTH FL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INTERNAL MEDICINE INSTITUTE OF SOUTH FL LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 May 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L14000086326 |
| FEI/EIN Number |
47-0997783
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 791 CHARLEMAGNE BLVD, NAPLES, FL, 34112, US |
| Mail Address: | 791 CHARLEMAGNE BLVD, NAPLES, FL, 34112, US |
| ZIP code: | 34112 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770997447 | 2014-06-20 | 2014-06-20 | 4061 BONITA BEACH RD STE 101, BONITA SPRINGS, FL, 341344073, US | 12264 TAMIAMI TRL E STE 203, NAPLES, FL, 341137942, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-304-9071 |
| Fax | 2393049320 |
Authorized person
| Name | RODOLFO FREIRE |
| Role | MEDICAL DIRECTOR |
| Phone | 2393049071 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME109303 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC& BS |
| Number | 14HA1 |
| State | FL |
| Issuer | MEDICAID |
| Number | 005826000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FREIRE RODOLFO | Managing Member | 791 CHARLEMAGNE BLVD, NAPLES, FL, 34112 |
| FREIRE RODOLFO | Agent | 791 CHARLEMAGNE BLVD, NAPLES, FL, 34112 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-08 | 791 CHARLEMAGNE BLVD, NAPLES, FL 34112 | - |
| CHANGE OF MAILING ADDRESS | 2017-01-08 | 791 CHARLEMAGNE BLVD, NAPLES, FL 34112 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-08 | 791 CHARLEMAGNE BLVD, NAPLES, FL 34112 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-06 |
| ANNUAL REPORT | 2015-03-23 |
| Florida Limited Liability | 2014-05-29 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
