| Entity Name: | INTEGRITY PHYSICIANS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000020460 |
| Address: | 2369 W. 52ND STREET, HIALEAH, FL, 33016, US |
| Mail Address: | 2369 W. 52ND STREET, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063911998 | 2018-02-06 | 2018-03-17 | 2369 W 52ND ST, HIALEAH, FL, 330167210, US | 10899 SW 72ND ST STE 203, MIAMI, FL, 331732722, US | |||||||||||||||||||||
|
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| Phone | +1 305-825-0587 |
| Fax | 3058257136 |
| Phone | +1 305-274-5319 |
| Fax | 3052745320 |
Authorized person
| Name | DR. JORGE TRAVIESO |
| Role | MGR |
| Phone | 3058250587 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRAVIESO JORGE | Agent | 2369 W. 52ND STREET, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| TRAVIESO JORGE | Manager | 2369 W. 52ND STREET, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
