| Entity Name: | INTEGRATIVE PHYSICAL MEDICINE OF SANFORD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Dec 2017 (7 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: | L17000262281 |
| FEI/EIN Number | 823952116 |
| Address: | 2676 S ORLANDO DRIVE, SANFORD, FL, 32773, US |
| Mail Address: | 2676 S ORLANDO DRIVE, SANFORD, FL, 32773, US |
| ZIP code: | 32773 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386120004 | 2018-07-16 | 2019-08-12 | 425 ALEXANDRIA BLVD STE 1000, OVIEDO, FL, 327655548, US | 2676 S ORLANDO DR, SANFORD, FL, 327735339, US | |||||||||||||||||
|
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| Phone | +1 321-318-6758 |
| Phone | +1 321-262-0082 |
| Fax | 3212620084 |
Authorized person
| Name | DR. MARC OTT |
| Role | CEO |
| Phone | 3212620082 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KABA CONSULTING INC. | Agent |
| Name | Role | Address |
|---|---|---|
| INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC | Manager | 425 ALEXANDRIA BLVD STE 1010, OVIEDO, FL, 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000076593 | COMPLETE CARE | EXPIRED | 2019-07-15 | 2024-12-31 | No data | 2676 S ORLANDO DRIVE, SANFORD, FL, 32773 |
| G18000007607 | INTEGRATIVE PHYSICAL MEDICINE | EXPIRED | 2018-01-15 | 2023-12-31 | No data | 1343 S INTERNATIONAL PARKWAY, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-12-13 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 900000198299 |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-18 | 2676 S ORLANDO DRIVE, SANFORD, FL 32773 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-18 | 2676 S ORLANDO DRIVE, SANFORD, FL 32773 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-18 |
| Florida Limited Liability | 2017-12-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
