Search icon

INTERVENTIONAL ASSOCIATES OF LAKELAND, LLC

Company Details

Entity Name: INTERVENTIONAL ASSOCIATES OF LAKELAND, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 26 Apr 2017 (8 years ago)
Date of dissolution: 13 Dec 2019 (5 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 13 Dec 2019 (5 years ago)
Document Number: L17000092768
FEI/EIN Number 82-1336151
Address: 1205 E MAGNOLIA,, STE 105, LAKELAND, FL 33801
Mail Address: 1205 E MAGNOLIA,, STE 105, LAKELAND, FL 33801
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205362373 2017-05-10 2017-05-10 1205 EAST MAGNOLIA ST, SUITE 101, LAKELAND, FL, 33801, US 1205 EAST MAGNOLIA ST, SUITE 101, LAKELAND, FL, 33801, US

Contacts

Phone +1 863-272-7930
Fax 8632727931

Authorized person

Name MARC OTT
Role PRESIDENT
Phone 4079773434

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role
KABA CONSULTING INC. Agent

Manager

Name Role Address
INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC Manager 425 ALEXANDRIA BLVD STE 1010, OVIEDO, FL 32765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000076414 COMPLETE CARE EXPIRED 2019-07-15 2024-12-31 No data 1205 E MAGNOLIA,, STE 105, LAKELAND, FL, 33801
G17000107081 INTEGRATIVE PHYSICAL MEDICINE EXPIRED 2017-09-27 2022-12-31 No data 1205 E MAGNOLIA ST, STE 101, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
MERGER 2019-12-13 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 900000198279
CHANGE OF PRINCIPAL ADDRESS 2019-04-18 1205 E MAGNOLIA,, STE 105, LAKELAND, FL 33801 No data
CHANGE OF MAILING ADDRESS 2019-04-18 1205 E MAGNOLIA,, STE 105, LAKELAND, FL 33801 No data

Documents

Name Date
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-16
Florida Limited Liability 2017-04-26

Date of last update: 18 Feb 2025

Sources: Florida Department of State