| Entity Name: | FLORIDA INTERVENTIONAL PROVIDERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA INTERVENTIONAL PROVIDERS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Aug 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Nov 2021 (3 years ago) |
| Document Number: | L19000204877 |
| FEI/EIN Number |
84-2780894
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2202 SE 23RD RD, HOMESTEAD, FL, 33035 |
| Mail Address: | 2202 SE 23RD RD, HOMESTEAD, FL, 33035 |
| ZIP code: | 33035 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477134658 | 2021-04-19 | 2021-04-19 | 2202 SE 23RD RD, HOMESTEAD, FL, 330351904, US | 2202 SE 23RD RD, HOMESTEAD, FL, 330351904, US | |||||||||||||||||||||||
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| Phone | +1 201-951-3113 |
| Fax | 3056753346 |
Authorized person
| Name | MR. DARRELL JOHNSON |
| Role | ADMINISTRATOR |
| Phone | 5613566313 |
Taxonomy
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| IBRAHEIM GEORGE | Authorized Member | 2202 SE 23RD RD, HOMESTEAD, FL, 33035 |
| EWING TAMMY | Authorized Member | 730 SW 7TH ST APT 1, HALLANDALE BEACH, FL, 33009 |
| SALINAS ROBERT | Agent | 19452 NE 26th Ave, Miami, FL, 33180 |
| 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 | - |
| 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 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
