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INTERNAL MEDICINE ASSOCIATES SNF, LLC

Company Details

Entity Name: INTERNAL MEDICINE ASSOCIATES SNF, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Aug 2016 (8 years ago)
Document Number: L16000143538
FEI/EIN Number 81-3466498
Address: 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
Mail Address: 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912456963 2016-09-30 2016-09-30 1601 CLINT MOORE RD, SUITE 200-2, BOCA RATON, FL, 334872768, US 1601 CLINT MOORE RD, SUITE 200-2, BOCA RATON, FL, 334872768, US

Contacts

Phone +1 561-939-0760
Fax 5619390755

Authorized person

Name JEFFREY GROSS
Role AUTHORIED OFFICIAL
Phone 5619390760

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME80235
State FL
Is Primary Yes

Agent

Name Role Address
GROSS, JEFFREY, MD Agent 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487

Manager

Name Role Address
IMA of South FL, LLC Manager 1601 CLINT MOORE ROAD STE 115, BOCA RATON, FL 33487

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-03-17
Florida Limited Liability 2016-08-01

Date of last update: 19 Jan 2025

Sources: Florida Department of State