| Entity Name: | INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jul 2001 (24 years ago) |
| Document Number: | P01000072335 |
| FEI/EIN Number | 651123035 |
| Address: | 28315 S. TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134 |
| Mail Address: | 28315 S. TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134 |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619946241 | 2006-03-16 | 2012-11-20 | 28315 S TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134, US | 28315 S TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 239-947-1177 |
| Fax | 2399476399 |
Authorized person
| Name | MR. GARY L GENDRON |
| Role | OWNER CLINIC DIRECTOR |
| Phone | 2399471177 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0005999 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | CH0005870 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GENDRON GARY L | Agent | 28315 S. TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| GENDRON GARY L | Director | 28315 S. TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000105012 | NUTRITIAN SPECIALISTS OF FLORIDA | EXPIRED | 2011-10-27 | 2016-12-31 | No data | 28315 S. TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL, 34134 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-05-02 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
