| Entity Name: | OMNI HEALTH INSTITUTE FOR FUNCTIONAL AND INTEGRATIVE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
OMNI HEALTH INSTITUTE FOR FUNCTIONAL AND INTEGRATIVE MEDICINE 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: | 17 Dec 2020 (4 years ago) |
| Document Number: | L20000394095 |
| FEI/EIN Number |
85-4364231
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6200 Sunset Drive, South Miami, FL, 33143, US |
| Mail Address: | 12191 W Linebaugh Ave., Tampa, FL, 33626, US |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760075410 | 2021-02-13 | 2021-02-13 | 6200 SUNSET DR STE 305, SOUTH MIAMI, FL, 331434829, US | 6200 SUNSET DR STE 305, SOUTH MIAMI, FL, 331434829, US | |||||||||||||||||||||
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| Phone | +1 305-665-6501 |
| Fax | 3056611672 |
Authorized person
| Name | PIERROT JEANNOT |
| Role | CEO |
| Phone | 3056656501 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017307700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JEANNOT PIERROT | Chief Executive Officer | 12191 W LINEBAUGH AVE,, TAMPA, FL, 33626 |
| JEANNOT PIERROT | Agent | 12191 W LINEBAUGH AVE, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-05-27 | 6200 Sunset Drive, Suite 305, South Miami, FL 33143 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-05 | 6200 Sunset Drive, Suite 305, South Miami, FL 33143 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-03-10 |
| Florida Limited Liability | 2020-12-17 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
