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IMA OF SOUTH FLORIDA, LLC

Company Details

Entity Name: IMA OF SOUTH FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 27 Jun 2019 (6 years ago)
Last Event: CONVERSION
Event Date Filed: 27 Jun 2019 (6 years ago)
Document Number: L19000160365
FEI/EIN Number 65-1061541
Address: 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
Mail Address: 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144271115 2006-05-15 2019-09-19 1601 CLINT MOORE RD, SUITE 115, BOCA RATON, FL, 334872768, US 1601 CLINT MOORE RD, SUITE 115, BOCA RATON, FL, 334872768, US

Contacts

Phone +1 561-997-8484
Fax 5619978429

Authorized person

Name MEYER COHEN
Role DIRECTOR
Phone 5619978484

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME 70980
State FL
Is Primary Yes

Agent

Name Role Address
GROSS, JEFFREY Agent 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487

MANAGER

Name Role Address
GROSS, JEFFREY MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
COHEN & MEYER, INC. MANAGER No data
SLOTNICK, DAVID L, M.D. MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
LEHMANN, ANDREW C MANAGER 1601 Clint Moore Road, 115 Boca Raton, FL 33487
ANGELILLO, MICHAEL C MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
ROSENBERG, MARC MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
LEVINE, SARA MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
MORAES, BRIAN MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
PICKHOLTZ, DOV MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487
SPIRAZZA, CARL MANAGER 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL 33487

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000074714 INTERNAL MEDICINE ASSOCIATES ACTIVE 2019-07-09 2029-12-31 No data 1601 CLINT MOORE ROAD, SUITE 115, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CONVERSION 2019-06-27 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P00000111310. CONVERSION NUMBER 300000194153

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-04-07
Florida Limited Liability 2019-06-27

Date of last update: 16 Jan 2025

Sources: Florida Department of State