| Entity Name: | FLORIDA INTEGRATIVE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Jan 2016 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000003665 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2415 University Parkway, Sarasota, FL, 34242, US |
| Mail Address: | 2415 University Parkway, Sarasota, FL, 34242, US |
| ZIP code: | 34242 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366802977 | 2016-02-25 | 2016-02-25 | 201 RUBY AVE, KISSIMMEE, FL, 347415697, US | 201 RUBY AVE, KISSIMMEE, FL, 347415697, US | |||||||||||||||||||||||
|
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| Phone | +1 407-931-3700 |
| Fax | 4075677900 |
Authorized person
| Name | MR. LUIS DELRIO |
| Role | OWNER |
| Phone | 4079313700 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Goldstein Anna | Agent | 2415 University Parkway, Sarasota, FL, 34232 |
| Name | Role | Address |
|---|---|---|
| Goldstein Anna | Manager | 2415 University Parkway, Sarasota, FL, 34242 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2018-02-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-13 | 2415 University Parkway, 218, Sarasota, FL 34242 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-13 | 2415 University Parkway, 218, Sarasota, FL 34232 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-13 | 2415 University Parkway, 218, Sarasota, FL 34242 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-13 | Goldstein, Anna | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-07 |
| REINSTATEMENT | 2018-02-13 |
| Florida Limited Liability | 2016-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
