| Entity Name: | INJURY INSTITUTE OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jul 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P00000065064 |
| FEI/EIN Number | 582638585 |
| Address: | 1454 NE 163RD ST, NORTH MIAMI BEACH, FL, 33162 |
| Mail Address: | 1454 NE 163RD ST, NORTH MIAMI BEACH, FL, 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700095718 | 2007-05-22 | 2008-02-21 | 1380 NE MIAMI GARDENS DR, STE 140, NORTH MIAMI BEACH, FL, 331794707, US | 1380 NE MIAMI GARDENS DR, SUITE 140, NORTH MIAMI BEACH, FL, 331794707, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-949-5162 |
| Fax | 3059495164 |
Authorized person
| Name | ANDREW G FRANK |
| Role | PRESIDENT |
| Phone | 3059495162 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | ME15876 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| License Number | ME15876 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS PROVIDER |
| Number | 91090 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ANDREW FRANK M | Agent | 1454 NE 163RD STREET, NORTH MIAMI BEACH, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| FRANK ANDREW | President | 1454 NE 163RD STREET, MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-07-02 | 1454 NE 163RD ST, NORTH MIAMI BEACH, FL 33162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-07-02 | 1454 NE 163RD STREET, NORTH MIAMI BEACH, FL 33162 | No data |
| CHANGE OF MAILING ADDRESS | 2010-07-02 | 1454 NE 163RD ST, NORTH MIAMI BEACH, FL 33162 | No data |
| CANCEL ADM DISS/REV | 2009-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001557462 | LAPSED | 1000000464417 | MIAMI-DADE | 2013-10-10 | 2023-10-29 | $ 1,775.02 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J10000982303 | LAPSED | 1000000190021 | DADE | 2010-10-07 | 2020-10-13 | $ 752.50 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-07-02 |
| REINSTATEMENT | 2009-10-07 |
| REINSTATEMENT | 2008-10-23 |
| REINSTATEMENT | 2007-11-07 |
| ANNUAL REPORT | 2006-07-12 |
| ANNUAL REPORT | 2005-02-21 |
| ANNUAL REPORT | 2004-03-15 |
| ANNUAL REPORT | 2003-07-28 |
| ANNUAL REPORT | 2002-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
