| Entity Name: | CENTRE FOR INTEGRATIVE AND HOLISTIC MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2021 (3 years ago) |
| Document Number: | L17000007506 |
| FEI/EIN Number | 81-5015411 |
| Address: | 528 W BALDWIN ROAD, PANAMA CITY, FL, 32405, US |
| Mail Address: | 528 W BALDWIN ROAD, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295230258 | 2018-03-29 | 2024-01-29 | 528 W BALDWIN RD, PANAMA CITY, FL, 324053313, US | 528 W BALDWIN RD, PANAMA CITY, FL, 324053313, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 850-819-4723 |
| Fax | 8504811976 |
| Phone | +1 850-777-3250 |
| Fax | 8505225925 |
Authorized person
| Name | RUBINA AZAM |
| Role | OWNER |
| Phone | 8508194723 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WAHEED ABDUL | Agent | 221 MCKENIZE AVEUNE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| Azam Rubina | Manager | 528 W BALDWIN ROAD, PANAMA CITY, FL, 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000003604 | PANAMA CITY LASER & MEDSPA | ACTIVE | 2025-01-08 | 2030-12-31 | No data | 528 WEST BALDWIN ROAD, PANAMA CITY, FL, 32405 |
| G23000149421 | BRAIN GUT &ADHD CENTER | ACTIVE | 2023-12-10 | 2028-12-31 | No data | 528 W BALDWIN ROAD, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-08 | 528 W BALDWIN ROAD, PANAMA CITY, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-08 | 528 W BALDWIN ROAD, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-04 | WAHEED, ABDUL | No data |
| REINSTATEMENT | 2021-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-05-02 |
| AMENDED ANNUAL REPORT | 2021-11-04 |
| REINSTATEMENT | 2021-10-08 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-24 |
| Florida Limited Liability | 2017-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
