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ORTHO INTEGRATIVE MEDICINE INSTITUTE, LLC - Florida Company Profile

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Company Details

Entity Name: ORTHO INTEGRATIVE MEDICINE INSTITUTE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Nov 2022 (3 years ago)
Document Number: L22000491572
FEI/EIN Number 88-4369613
Address: 2574 REDWOOD WAY, CLEARWATER, FL, 33761
Mail Address: 2574 REDWOOD WAY, CLEARWATER, FL, 33761
ZIP code: 33761
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLAHNIK EMMETT Authorized Member 2574 REDWOOD WAY, CLEARWATER, FL, 33761
MUSTARI JEFFREY Agent 301 W. BAY STREET, JACKSONVILLE, FL, 32202

National Provider Identifier

NPI Number:
1972379741
Certification Date:
2023-12-01

Authorized Person:

Name:
DR. EMMETT A. BLAHNIK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
202D00000X - Integrative Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-30
Florida Limited Liability 2022-11-17

OSHA's Inspections within Industry

Inspection Summary

Date:
2025-02-26
Type:
Complaint
Address:
25749 US HIGHWAY 19 NORTH, CLEARWATER, FL, 33763
Safety Health:
Safety
Scope:
NoInspection

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Date of last update: 01 Aug 2025

Sources: Florida Department of State