| Entity Name: | INTEGRATIVE MEDICINE & REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Oct 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Sep 2023 (a year ago) |
| Document Number: | L20000339728 |
| FEI/EIN Number | 85-3621820 |
| Mail Address: | 26731 DUBLIN WOODS CIRCLE, STE 2, BONITA SPRINGS, FL, 34135, US |
| Address: | 9101 W COLLEGE POINT DRIVE, SUITE 1, FORT MYERS, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699424374 | 2022-03-21 | 2023-10-29 | 9101 W COLLEGE POINTE DR STE 1B, FORT MYERS, FL, 339193390, US | 9101 W COLLEGE POINTE DR STE 1B, FORT MYERS, FL, 339193390, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-208-0088 |
Authorized person
| Name | DREW MONTEZ CLARK |
| Role | OWNER |
| Phone | 2392080088 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK KANEMA | Agent | 26731 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL, 34135 |
| Name | Role |
|---|---|
| INSPIRED LEGACY HOLDING COMPANY, LLC | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000035065 | BREAKTHROUGH HEALTH CENTERS OF FORT MYERS | ACTIVE | 2023-03-16 | 2028-12-31 | No data | 9101 WEST COLLEGE POINTE DRIVE, SUITE 1B, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2021-11-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-17 | CLARK, KANEMA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000641215 | ACTIVE | 1000001012700 | LEE | 2024-09-24 | 2034-10-02 | $ 565.13 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| J23000102491 | ACTIVE | 1000000945815 | LEE | 2023-03-06 | 2033-03-08 | $ 841.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, NAPLES SERVICE CENTER, 3845 BECK BLVD STE 831, NAPLES FL341141218 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| REINSTATEMENT | 2023-09-26 |
| ANNUAL REPORT | 2022-04-08 |
| REINSTATEMENT | 2021-11-17 |
| Florida Limited Liability | 2020-10-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
