| Entity Name: | FLORIDA RESTORATIVE MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Sep 2015 (9 years ago) |
| Date of dissolution: | 13 Jun 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jun 2017 (8 years ago) |
| Document Number: | L15000161850 |
| FEI/EIN Number | 47-5252788 |
| Address: | 509 SE CENTRAL PARKWAY, STUART, FL, 34994, US |
| Mail Address: | 509 SE CENTRAL PARKWAY, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184097917 | 2015-11-02 | 2015-11-02 | 509 SE CENTRAL PKWY, STUART, FL, 349943992, US | 509 SE CENTRAL PKWY, STUART, FL, 349943992, US | |||||||||||||||
|
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| Phone | +1 772-266-4727 |
Authorized person
| Name | MS. KATHRYN BRANDT |
| Role | MEMBER |
| Phone | 7722664727 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEVENS EMILY | Agent | 509 SE CENTRAL PARKWAY, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| STEVENS EMILY | Authorized Member | 509 SE CENTRAL PARKWAY, STUART, FL, 34994 |
| BRANDT KATHRYN | Authorized Member | 509 SE CENTRAL PARKWAY, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-06-13 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-15 | 509 SE CENTRAL PARKWAY, STUART, FL 34994 | No data |
| LC AMENDMENT | 2017-05-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-15 | STEVENS, EMILY | No data |
| LC AMENDMENT | 2017-02-09 | No data | No data |
| REINSTATEMENT | 2016-12-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-12-06 | 509 SE CENTRAL PARKWAY, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2016-12-06 | 509 SE CENTRAL PARKWAY, STUART, FL 34994 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2017-05-15 |
| LC Amendment | 2017-02-09 |
| REINSTATEMENT | 2016-12-06 |
| Florida Limited Liability | 2015-09-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
