| Entity Name: | STRIVE INTEGRATED PHYSICAL MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Aug 2014 (11 years ago) |
| Document Number: | L14000121564 |
| FEI/EIN Number | 47-1563041 |
| Address: | 2626 SE MARICAMP ROAD, OCALA, FL, 34471, US |
| Mail Address: | 2626 SE MARICAMP ROAD, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467855940 | 2014-09-29 | 2018-03-17 | 2626 SE MARICAMP RD, OCALA, FL, 344715582, US | 2626 SE MARICAMP RD STE 102, OCALA, FL, 344715582, US | |||||||||||||||||||||||
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| Phone | +1 352-690-7777 |
| Fax | 3526907788 |
Authorized person
| Name | RICHARD W SHUTES |
| Role | CEO/PRESIDENT |
| Phone | 3526907777 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SHUTES RICHARD W | Agent | 2620 SE MARICAMP ROAD, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| SHUTES RICHARD W | Authorized Member | 2620 SE MARICAMP ROAD, OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000075302 | STRIVE! PAIN & SPINE CENTER | ACTIVE | 2022-06-22 | 2027-12-31 | No data | 2626 SE MARICAMP ROAD, OCALA, FL, 34471 |
| G15000054111 | STRIVE! PAIN & SPINE CENTER | EXPIRED | 2015-05-19 | 2020-12-31 | No data | 2626 SE MARICAMP ROAD, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-24 | 2626 SE MARICAMP ROAD, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-24 | 2626 SE MARICAMP ROAD, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
