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FLORIDA INTERVENTIONAL PROVIDERS LLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA INTERVENTIONAL PROVIDERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Aug 2019 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Nov 2021 (4 years ago)
Document Number: L19000204877
FEI/EIN Number 84-2780894
Address: 2202 SE 23RD RD, HOMESTEAD, FL, 33035
Mail Address: 2202 SE 23RD RD, HOMESTEAD, FL, 33035
ZIP code: 33035
City: Homestead
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
IBRAHEIM GEORGE Authorized Member 2202 SE 23RD RD, HOMESTEAD, FL, 33035
SALINAS ROBERT Agent 19452 NE 26th Ave, Miami, FL, 33180

National Provider Identifier

NPI Number:
1477134658
Certification Date:
2021-04-19

Authorized Person:

Name:
MR. DARRELL JOHNSON
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
3056753346

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-11-26 - -
REGISTERED AGENT NAME CHANGED 2021-11-26 SALINAS, ROBERT -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
REGISTERED AGENT ADDRESS CHANGED 2020-06-30 19452 NE 26th Ave, Apt 32C, Miami, FL 33180 -

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-30
REINSTATEMENT 2021-11-26
ANNUAL REPORT 2020-06-30
Florida Limited Liability 2019-08-12

USAspending Awards / Financial Assistance

Date:
2020-05-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1700.00
Total Face Value Of Loan:
1890.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State