| Entity Name: | FUNCTIONAL INTEGRATIVE THERAPY CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FUNCTIONAL INTEGRATIVE THERAPY CLINIC, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Aug 2002 (22 years ago) |
| Date of dissolution: | 23 Feb 2010 (15 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 23 Feb 2010 (15 years ago) |
| Document Number: | P02000094658 |
| FEI/EIN Number |
412057209
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL, 33160 |
| Mail Address: | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL, 33160 |
| ZIP code: | 33160 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578663233 | 2006-09-23 | 2020-08-22 | 1868 NE 164TH ST, NORTH MIAMI BEACH, FL, 331624110, US | 1868 NE 164TH ST, NORTH MIAMI BEACH, FL, 331624110, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-949-7665 |
Authorized person
| Name | STEVEN SANFORD |
| Role | OWNER |
| Phone | 3059497665 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS FL |
| Number | X1593 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HA AN DAN D | President | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL, 33160 |
| HA AN DAN D | Director | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL, 33160 |
| HA AN DAN D | Agent | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL, 33160 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000100569 | LITTLE STEPS REHABILITATION CLINIC | EXPIRED | 2009-04-23 | 2014-12-31 | - | 2265 N E 164 ST, NORTH MIAMI BEACH, FL, 33160 |
| G09078900430 | FIT FOR KIDS | EXPIRED | 2009-03-19 | 2014-12-31 | - | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL, 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2010-02-23 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P07000063217. MERGER NUMBER 900000103129 |
| REGISTERED AGENT NAME CHANGED | 2009-03-18 | HA, AN DAN DR. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-09-03 | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL 33160 | - |
| CHANGE OF MAILING ADDRESS | 2008-09-03 | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL 33160 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-09-03 | 2265 NE 164 STREET, NORTH MIAMI BEACH, FL 33160 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-18 |
| Off/Dir Resignation | 2008-09-03 |
| Reg. Agent Resignation | 2008-09-03 |
| Reg. Agent Change | 2008-09-03 |
| ANNUAL REPORT | 2008-02-19 |
| ANNUAL REPORT | 2007-06-18 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-02-02 |
| ANNUAL REPORT | 2004-01-30 |
| ANNUAL REPORT | 2003-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
