| Entity Name: | CAPE CORAL INTEGRATED MEDICAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Oct 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 May 2023 (2 years ago) |
| Document Number: | L20000338993 |
| FEI/EIN Number | 85-3610290 |
| Address: | 1413 VISCAYA PKWY, CAPE CORAL, FL, 33990, US |
| Mail Address: | 1413 VISCAYA PKWY, CAPE CORAL, FL, 33990, US |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376114918 | 2021-07-06 | 2021-07-06 | 643 CAPE CORAL PKWY E STE E, CAPE CORAL, FL, 339048549, US | 643 CAPE CORAL PKWY E STE E, CAPE CORAL, FL, 339048549, US | |||||||||||||
|
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| Phone | +1 239-458-5747 |
Authorized person
| Name | JUSTIN DEAN DEMPSEY |
| Role | OWNER / PROVIDER |
| Phone | 2394585747 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEMPSEY JUSTIN | Agent | 1413 VISCAYA PKWY, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| DEMPSEY JUSTIN | Manager | 1413 VISCAYA PKWY, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| JACOBY RONALD IMD | Authorized Member | 14248 E KALIL DR, SCOTTSDALE, AZ, 85259 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000062312 | ACTIVE MED PROS | ACTIVE | 2022-05-18 | 2027-12-31 | No data | 1413 VISCAYA PKWY, CAPE CORAL, FL, 33990 |
| G21000101607 | SUPERIOR MED | ACTIVE | 2021-08-04 | 2026-12-31 | No data | 1413 VISCAYA PKWY, CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-05-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-04 | 1413 VISCAYA PKWY, CAPE CORAL, FL 33990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-04 | 1413 VISCAYA PKWY, CAPE CORAL, FL 33990 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-06 | 1413 VISCAYA PKWY, CAPE CORAL, FL 33990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| LC Amendment | 2023-05-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-07 |
| Florida Limited Liability | 2020-10-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
