| Entity Name: | ADVANCED MEDICAL THERAPY INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 12 Dec 2003 (21 years ago) |
| Date of dissolution: | 18 Mar 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 18 Mar 2010 (15 years ago) |
| Document Number: | N03000010875 |
| FEI/EIN Number | 550858178 |
| Address: | 6776 54TH AVE N, SUITE B, ST PETERSBURG, FL, 33709 |
| Mail Address: | 6776 54TH AVE N, SUITE B, ST PETERSBURG, FL, 33709 |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538199435 | 2006-07-04 | 2008-06-30 | 6776 54TH AVE N, SUITE B, ST PETERSBURG, FL, 337091405, US | 6776 54TH AVE N, SUITE B, ST PETERSBURG, FL, 337091405, US | |||||||||||||||
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| Phone | +1 727-397-9118 |
| Fax | 7273979440 |
Authorized person
| Name | JOE DISTEFANO |
| Role | OWNER |
| Phone | 7273979118 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DISTEFANO JOSEPH | Agent | 6776 54TH AV N, ST PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| DISTEFANO JOSEPH | Director | 9024 109 TER N, LARGO, FL, 33777 |
| NELSON DOUGLAS | Director | 4604 49TH ST N STE 61, ST PETERSBURG, FL, 33709 |
| SMYZER ROGER | Director | 250 SIESTA LANE, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| DISTEFANO JOSEPH | President | 9024 109 TER N, LARGO, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| DISTEFANO JOSEPH | Treasurer | 9024 109 TER N, LARGO, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| SMYZER ROGER | Secretary | 250 SIESTA LANE, LARGO, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2010-03-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-20 | 6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-20 | 6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-20 | 6776 54TH AV N, SUITE B, ST PETERSBURG, FL 33709 | No data |
| REINSTATEMENT | 2004-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2010-03-18 |
| ANNUAL REPORT | 2009-05-07 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-04-20 |
| ANNUAL REPORT | 2006-07-27 |
| ANNUAL REPORT | 2005-04-06 |
| REINSTATEMENT | 2004-10-27 |
| Domestic Non-Profit | 2003-12-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
