| Entity Name: | PARKER INTEGRATIVE MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Sep 2018 (6 years ago) |
| Document Number: | L18000227485 |
| FEI/EIN Number | 83-2009148 |
| Address: | 1794 Arash Circle, Port Orange, FL, 32128, US |
| Mail Address: | 1794 ARASH CIR, PORT ORANGE, FL, 32128, US |
| ZIP code: | 32128 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407470768 | 2020-06-02 | 2020-06-12 | 1367 BEVILLE RD, DAYTONA BEACH, FL, 321191529, US | 1367 BEVILLE RD, DAYTONA BEACH, FL, 321191529, US | |||||||||||||||
|
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| Phone | +1 386-316-2525 |
| Fax | 9032139186 |
Authorized person
| Name | CINDY RENEE PARKER |
| Role | OWNER/PRACTITIONER |
| Phone | 3863162525 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARKER CINDY | Agent | 1794 ARASH CIR, PORT ORANGE, FL, 32128 |
| Name | Role | Address |
|---|---|---|
| Parker Cindy R | Auth | 1794 Arash Circle, Port Orange, FL, 32128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 1794 Arash Circle, Port Orange, FL 32128 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-04-03 |
| AMENDED ANNUAL REPORT | 2020-07-14 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-09-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
