| Entity Name: | ALLIANCE INTEGRATED MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Jul 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000139618 |
| FEI/EIN Number | 81-3457169 |
| Address: | 721 COLORADO AVEUNUE, STUART, FL, 34994, US |
| Mail Address: | 721 COLORADO AVEUNUE, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194263962 | 2017-02-01 | 2017-02-01 | 721 COLORADO AVE, STUART, FL, 349943017, US | 721 COLORADO AVE, STUART, FL, 349943017, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 772-888-2545 |
| Fax | 7728882742 |
Authorized person
| Name | RAVIKANTH CHIRAVURI |
| Role | OFFICER |
| Phone | 7728882545 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLORIDA HEALTH LAW CENTER, PL | Agent | 10200 W. STATE ROAD 84, DAVIE, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| CHIRAVURI RAVIKANTH M.D. | Manager | 721 COLORDO AVENUE, STUART, FL, 34994 |
| ALARIO FRANK M.D. | Manager | 721 COLORADO AVENUE, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| Florida Limited Liability | 2016-07-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
