| Entity Name: | BREVARD INTEGRATED HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 05 Feb 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L18000032026 |
| FEI/EIN Number | 82-4280369 |
| Address: | 1211 ADMIRALTY BLVD., ROCKLEDGE, FL 32955 |
| Mail Address: | 1211 ADMIRALTY BLVD., ROCKLEDGE, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558852715 | 2018-05-23 | 2018-05-23 | 1211 ADMIRALTY BLVD, ROCKLEDGE, FL, 329555201, US | 1211 ADMIRALTY BLVD, ROCKLEDGE, FL, 329555201, US | |||||||||||||||||||
|
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| Phone | +1 321-614-8430 |
| Fax | 3217350235 |
Authorized person
| Name | DR. DAVID HEINISH |
| Role | MANAGER |
| Phone | 3216148430 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME90864 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEYER, ALBERT | Agent | 55 SE 2ND AVE, 1ST FLOOR, DELRAY BEACH, FL 33444 |
| Name | Role | Address |
|---|---|---|
| DAVID, HEINISH | Manager | PO BOX 390967, DELTONA, FL 32739 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000052747 | MY DIRECT PRIMARY CARE | ACTIVE | 2022-04-26 | 2027-12-31 | No data | 1211 ADMIRALTY BLVD, ROCKLEDGE, FL, 32955 |
| G20000002152 | USA PAIN RELIEF AND WELLNESS CENTER | ACTIVE | 2020-01-06 | 2025-12-31 | No data | 1211 ADMIRALTY BLVD, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-18 |
| Florida Limited Liability | 2018-02-05 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
