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INTEGRATIVE PHYSICAL MEDICINE OF THE VILLAGES, LLC

Company Details

Entity Name: INTEGRATIVE PHYSICAL MEDICINE OF THE VILLAGES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Aug 2018 (6 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: L18000200702
FEI/EIN Number 831673507
Address: 1501 N US HWY 441, BLDG 1000 STE 101, THE VILLAGES, FL, 32159, US
Mail Address: 1501 N US HWY 441, BLDG 1000 STE 101, THE VILLAGES, FL, 32159, US
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306328240 2018-09-06 2018-09-06 425 ALEXANDRIA BLVD STE 1000, OVIEDO, FL, 327655548, US 1501 N US HIGHWAY 441 STE 1001, THE VILLAGES, FL, 321598999, US

Contacts

Phone +1 407-977-3434
Phone +1 352-484-0109

Authorized person

Name DR. MARC OTT
Role CEO
Phone 4079773434

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
KABA CONSULTING INC. Agent

Manager

Name Role Address
INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC Manager 425 ALEXANDRIA BLVD STE 1010, OVIEDO, FL, 32765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000096537 INTEGRATIVE PHYSICAL MEDICINE EXPIRED 2018-08-29 2023-12-31 No data 1501 N US HWY 441, BLDG 1000 STE 101, THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
MERGER 2019-12-13 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L12000112955. MERGER NUMBER 700000198287
CHANGE OF PRINCIPAL ADDRESS 2018-08-23 1501 N US HWY 441, BLDG 1000 STE 101, THE VILLAGES, FL 32159 No data
CHANGE OF MAILING ADDRESS 2018-08-23 1501 N US HWY 441, BLDG 1000 STE 101, THE VILLAGES, FL 32159 No data

Documents

Name Date
ANNUAL REPORT 2019-04-18
Florida Limited Liability 2018-08-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State