| Entity Name: | INTERVENTIONAL MASTERS IN PRIVATE PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Oct 2019 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | N19000011099 |
| FEI/EIN Number | 84-3495228 |
| Address: | 1324 LAKELAND HILLS BLVD., LAKELAND, FL 33805 |
| Mail Address: | 1324 LAKELAND HILLS BLVD., LAKELAND, FL 33805 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| CROWELL, KIMBERLY, ESQ. | Agent | 215 S. MONROE ST., 2ND FLOOR, TALLAHASSEE, FL 32301 |
| Name | Role | Address |
|---|---|---|
| WHITNEY, LARRY | Director | 19114 SAINT EMILION CT., LUTZ, FL 33558 |
| ELMASRI, FAKHIR | Director | 802 HANOVER WAY, LAKELAND, FL 33813 |
| TUMMALA, VENKAT | Director | 5017 SHORE SIDE DR., LAKELAND, FL 33812 |
| PARK, JONG | Director | 403 S. WILLOW AVE., UNIT D, TAMPA, FL 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-03 |
| Domestic Non-Profit | 2019-10-21 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
