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INTEGRATIVE PHYSICAL MEDICINE OF WEST ORLANDO, LLC

Company Details

Entity Name: INTEGRATIVE PHYSICAL MEDICINE OF WEST ORLANDO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 10 May 2016 (9 years ago)
Date of dissolution: 13 Dec 2019 (5 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 13 Dec 2019 (5 years ago)
Document Number: L16000091773
FEI/EIN Number 81-2633989
Address: 822 MERCY DR, ORLANDO, FL 32808
Mail Address: 822 MERCY DR, ORLANDO, FL 32808
ZIP code: 32808
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821445883 2016-05-19 2016-05-19 800 MERCY DR, STE A, ORLANDO, FL, 328087850, US 800 MERCY DR, STE A, ORLANDO, FL, 328087850, US

Contacts

Phone +1 407-630-7749
Fax 4076307789

Authorized person

Name BRET SCHEUPLEIN
Role OWNER
Phone 4076307749

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role
KABA CONSULTING INC. Agent

Manager

Name Role Address
INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC Manager 425 ALEXANDRIA BLVD STE 1010, OVIEDO, FL 32765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000076433 COMPLETE CARE EXPIRED 2019-07-15 2024-12-31 No data 822 MERCY DR, ORLANDO, FL, 32808
G16000051481 INTEGRATIVE PHYSICAL MEDICINE EXPIRED 2016-05-23 2021-12-31 No data 800 MERCY DRIVE STE A, ORLANDO, FL, 32808

Events

Event Type Filed Date Value Description
MERGER 2019-12-13 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 700000198297
CHANGE OF PRINCIPAL ADDRESS 2016-08-10 822 MERCY DR, ORLANDO, FL 32808 No data
CHANGE OF MAILING ADDRESS 2016-08-10 822 MERCY DR, ORLANDO, FL 32808 No data

Documents

Name Date
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-03-15
Florida Limited Liability 2016-05-10

Date of last update: 19 Feb 2025

Sources: Florida Department of State