| Entity Name: | IMC FL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Apr 2021 (4 years ago) |
| Document Number: | L21000196302 |
| FEI/EIN Number | 86-3702431 |
| Address: | 1193 WINDROCK DRIVE, MCLEAN, VA 22102 |
| Mail Address: | 1193 WINDROCK DRIVE, MCLEAN, VA 22102 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982353934 | 2022-03-18 | 2022-03-31 | PO BOX 309, VIENNA, VA, 221830309, US | 10058 GULF CENTER DR, FORT MYERS, FL, 339138961, US | |||||||||||||
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| Phone | +1 833-493-4325 |
Authorized person
| Name | DR. VAISHALI NENE GEIB |
| Role | PHYSICIAN |
| Phone | 7037253190 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SKEEN, JEFF | Authorized Member | 1193 WINDROCK DRIVE, MCLEAN, VA 22102 |
| GEIB, VAISHALI | Authorized Member | 22770 MOUNTVILLE WOODS DRIVE, ASHBURN, VA 20148 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000122942 | OPTIMUM WELLNESS CENTER | ACTIVE | 2024-10-02 | 2029-12-31 | No data | 2724 5TH ST W., SUITE A,, LEHIGH ACRES, FL, 33971 |
| G24000054005 | REENVISION | ACTIVE | 2024-04-23 | 2029-12-31 | No data | 9918 GULF COAST MAIN ST, SUITE #100, FORT MYERS, FL, 33913 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-13 |
| Florida Limited Liability | 2021-04-27 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
