| Entity Name: | ADVANCED INTEGRATED REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jan 2017 (8 years ago) |
| Document Number: | L17000006387 |
| FEI/EIN Number | 81-5032748 |
| Address: | 2813 Gulf to Bay Blvd #150, CLEARWATER, FL, 33759, US |
| Mail Address: | 2813 Gulf to Bay Blvd #150, CLEARWATER, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023555695 | 2017-01-20 | 2017-01-20 | 2803 GULF TO BAY BLVD, 150, CLEARWATER, FL, 337594014, US | 2803 GULF TO BAY BLVD, 150, CLEARWATER, FL, 337594014, US | |||||||||||||||||
|
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| Phone | +1 308-631-8345 |
Authorized person
| Name | DR. THURSTON D MCMILLEN |
| Role | PRESIDENT/CEO |
| Phone | 3086318345 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | ME112409 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCMILLEN THURSTON DMD | Agent | 2803 GULF TO BAY BLVD, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| MCMILLEN THURSTON DMD | Chief Executive Officer | 2803 GULF TO BAY BLVD #150, CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-06 | 2813 Gulf to Bay Blvd #150, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-06 | 2813 Gulf to Bay Blvd #150, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-01-28 |
| AMENDED ANNUAL REPORT | 2021-10-27 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-05 |
| Florida Limited Liability | 2017-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
