| Entity Name: | INTEGRITY MEDICAL & HEALING CARE GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Aug 2023 (a year ago) |
| Document Number: | L23000405728 |
| FEI/EIN Number | 93-3255528 |
| Address: | 1931 SW 150 AVENUE, PEMBROKE PINES, FL 33028 |
| Mail Address: | 1931 SW 150 AVENUE, PEMBROKE PINES, FL 33028 |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790561678 | 2023-09-06 | 2023-09-12 | 1931 NW 150TH AVE, PEMBROKE PINES, FL, 330282877, US | 1931 NW 150TH AVE, PEMBROKE PINES, FL, 330282877, US | |||||||||||||
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| Phone | +1 954-906-1872 |
Authorized person
| Name | KHALENA ANSELMO |
| Role | NURSE PRACTITIONER |
| Phone | 7325707775 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FEINBERG, JEFFREY | Agent | 4651 SHERIDAN STREET, SUITE 200, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| CRAWFORD-WILLIAMS, SHERRI, APRN | Authorized Member | 1931 SW 150 AVENUE, PEMBROKE PINES, FL 33028 |
| MARSEILLE, SUZETTE, APRN | Authorized Member | 1931 SW 150 AVENUE, PEMBROKE PINES, FL 33028 |
| KOLA, LINDA M, APRN | Authorized Member | 1931 SW 150 AVENUE, PEMBROKE PINES, FL 33028 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-23 |
| AMENDED ANNUAL REPORT | 2024-09-08 |
| ANNUAL REPORT | 2024-04-30 |
| Florida Limited Liability | 2023-08-29 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
