| Entity Name: | INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2018 (7 years ago) |
| Document Number: | L18000048505 |
| FEI/EIN Number | 82-4559918 |
| Address: | 6278 NORTH FEDERAL HIGHWAY, SUITE 412, Fort Lauderdale, FL, 33308, US |
| Mail Address: | 2098 NE 54TH STREET, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407343015 | 2018-04-18 | 2019-06-23 | 2098 NE 54TH ST, FORT LAUDERDALE, FL, 333083158, US | 1880 E COMMERCIAL BLVD STE 3, FORT LAUDERDALE, FL, 333083747, US | |||||||||||||||||||||
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| Phone | +1 954-650-7662 |
| Fax | 9549012838 |
| Phone | +1 954-938-8998 |
Authorized person
| Name | DINH PHAM |
| Role | OWNER/MEDICAL DOCTOR |
| Phone | 9546507662 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME82117 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHAM DINH | Agent | 2098 NE 54TH STREET, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| PHAM DINH DOCTOR | Manager | 2098 NE 54TH STREET, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 6278 NORTH FEDERAL HIGHWAY, SUITE 412, Fort Lauderdale, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-06 |
| Florida Limited Liability | 2018-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
