| Entity Name: | ALACHUA INTEGRATIVE MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Dec 2000 (24 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P00000114613 |
| FEI/EIN Number | 593687193 |
| Address: | 14804 NW 140TH STREET, ALACHUA, FL, 32615 |
| Mail Address: | 14804 NW 140TH STREET, ALACHUA, FL, 32615 |
| ZIP code: | 32615 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407042807 | 2007-09-19 | 2007-09-27 | 14804 NW 140TH ST, ALACHUA, FL, 326156276, US | 14804 NW 140TH ST, ALACHUA, FL, 326156276, US | |||||||||||||||||||
|
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| Phone | +1 386-418-1234 |
| Fax | 3864188203 |
Authorized person
| Name | PATRICIA CONCEICAO |
| Role | OFFICE MANAGER |
| Phone | 3864181234 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1557262 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DORAN SHAWNA | Agent | 14804 NW 140TH STREET, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| DORAN SHAWNA A | President | 14804 NW140TH STREET, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| DORAN SHAWNA A | Secretary | 14804 NW140TH STREET, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| DORAN SHAWNA A | Director | 14804 NW140TH STREET, ALACHUA, FL, 32615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2005-10-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-10-03 | 14804 NW 140TH STREET, ALACHUA, FL 32615 | No data |
| CHANGE OF MAILING ADDRESS | 2005-10-03 | 14804 NW 140TH STREET, ALACHUA, FL 32615 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-10-03 | DORAN, SHAWNA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-10-03 | 14804 NW 140TH STREET, ALACHUA, FL 32615 | No data |
| AMENDMENT | 2003-10-29 | No data | No data |
| REINSTATEMENT | 2002-03-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-01-17 |
| ANNUAL REPORT | 2010-05-03 |
| ANNUAL REPORT | 2009-04-14 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-18 |
| ANNUAL REPORT | 2006-08-29 |
| Amendment | 2005-10-21 |
| Reg. Agent Change | 2005-10-03 |
| Reg. Agent Resignation | 2005-10-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
