| Entity Name: | PRECISION INTEGRATIVE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jun 2017 (8 years ago) |
| Document Number: | L17000123759 |
| FEI/EIN Number | 82-4109479 |
| Mail Address: | 877 W. Minneola Ave., Clermont, FL, 34712-1262, US |
| Address: | 835 7th Street, Clermont, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437749660 | 2021-01-21 | 2021-02-23 | 877 W MINNEOLA AVE # 121262, CLERMONT, FL, 347121262, US | 835 7TH ST STE 1, CLERMONT, FL, 347112190, US | |||||||||||||
|
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| Phone | +1 352-901-4513 |
Authorized person
| Name | DR. DUSTIN VAUGHAN |
| Role | ACUPUNCTURE PHYSICIAN |
| Phone | 3529014513 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAUGHAN DUSTIN L | Agent | 877 W. Minneola Ave., Clermont, FL, 347121262 |
| Name | Role | Address |
|---|---|---|
| Vaughan Dustin L | Chief Executive Officer | 877 W. Minneola Ave., Clermont, FL, 347121262 |
| Name | Role | Address |
|---|---|---|
| Vaughan Shauna | Chief Operating Officer | 835 7th Street, Clermont, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-07 | 835 7th Street, Suite 1, Clermont, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 835 7th Street, Suite 1, Clermont, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 877 W. Minneola Ave., 121262, Clermont, FL 34712-1262 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-23 |
| Florida Limited Liability | 2017-06-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
