| Entity Name: | INTEGRATIVE PHYSICIAN ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Sep 2016 (8 years ago) |
| Date of dissolution: | 12 Dec 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2017 (7 years ago) |
| Document Number: | L16000175053 |
| FEI/EIN Number | 81-3901820 |
| Address: | 4431 PARK BLVD, PINELLAS PARK, FL 33781 |
| Mail Address: | 4431 PARK BLVD N, PINELLAS PARK, FL 33781 |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972054906 | 2016-10-14 | 2016-10-14 | 4431 PARK BLVD N, PINELLAS PARK, FL, 337813540, US | 4431 PARK BLVD N, PINELLAS PARK, FL, 337813540, US | |||||||||||||||||||||||||||
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| Phone | +1 727-954-7180 |
| Fax | 7279545627 |
Authorized person
| Name | DR. PHU TRAN |
| Role | MEMBER |
| Phone | 8034645454 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9170 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10655 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRAN, PHU D | Agent | 4431 PARK BLVD N, PINELLAS PARK, FL 33781 |
| Name | Role | Address |
|---|---|---|
| TRAN, PHU D | Managing Member | 5501 67TH AVE N APT 10, PINELLAS PARK, FL 33781 |
| CHUNG, KY | Managing Member | 2850 CRIBBLE CT., ORLANDO, FL 32822 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000103080 | ST. PETE INJURY AND WELLNESS CARE | EXPIRED | 2016-09-20 | 2021-12-31 | No data | 4431 PARK BLVD, PINELLAS PARK, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-12-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-01 | 4431 PARK BLVD, PINELLAS PARK, FL 33781 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-01 | 4431 PARK BLVD N, PINELLAS PARK, FL 33781 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-01 |
| Florida Limited Liability | 2016-09-19 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
