| Entity Name: | INTEGRATIVE PHYSICAL MEDICINE OF CLERMONT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Jun 2018 (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: | L18000159985 |
| FEI/EIN Number | 83-1146987 |
| Address: | 4290 S HIGHWAY 27,, STE 105, CLERMONT, FL, 34711, US |
| Mail Address: | 4290 S HIGHWAY 27,, STE 105, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285115113 | 2018-08-28 | 2018-09-10 | 425 ALEXANDRIA BLVD STE 1000, OVIEDO, FL, 327655548, US | 4290 S HIGHWAY 27 STE 105, CLERMONT, FL, 347118066, US | |||||||||||||||
|
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| Phone | +1 407-977-3434 |
| Phone | +1 352-432-8705 |
Authorized person
| Name | DR. MARC OTT |
| Role | CEO |
| Phone | 4079773434 |
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 |
|---|---|---|---|---|---|---|
| G19000075908 | COMPLETE CARE | EXPIRED | 2019-07-12 | 2024-12-31 | No data | 4290 S HIGHWAY 27, STE 105, CLERMONT, FL, 34711 |
| G18000085708 | INTEGRATIVE PHYSICAL MEDICINE | EXPIRED | 2018-08-03 | 2023-12-31 | No data | 4290 S HIGHWAY 27, STE 105, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-12-13 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 100000198271 |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-23 | 4290 S HIGHWAY 27,, STE 105, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-23 | 4290 S HIGHWAY 27,, STE 105, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-18 |
| Florida Limited Liability | 2018-06-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
