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INNOVATIVE BALANCE & THERAPY CLINICS, INC

Company Details

Entity Name: INNOVATIVE BALANCE & THERAPY CLINICS, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Jan 2007 (18 years ago)
Date of dissolution: 26 Sep 2008 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2008 (16 years ago)
Document Number: P07000004277
Address: 10830 STACEY LANE, BOCA RATON, FL 33428
Mail Address: 10830 STACEY LANE, BOCA RATON, FL 33428
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841342052 2007-01-17 2020-08-22 10830 STACEY LN, BOCA RATON, FL, 334284049, US 10830 STACEY LN, BOCA RATON, FL, 334284049, US

Contacts

Phone +1 561-218-3729
Fax 5612180388
Phone +1 561-703-7884

Authorized person

Name MRS. GWENDOLYN JEAN BOYD
Role PRESIDENT
Phone 5612070989

Taxonomy

Taxonomy Code 104100000X - Social Worker
Is Primary No
Taxonomy Code 224Z00000X - Occupational Therapy Assistant
Is Primary No
Taxonomy Code 225000000X - Orthotic Fitter
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225200000X - Physical Therapy Assistant
Is Primary No
Taxonomy Code 225700000X - Massage Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No

Agent

Name Role Address
RAMIREZ, ROSMIRA Agent 10830 STACEY LANE, BOCA RATON, FL 33428

President

Name Role Address
BOYD, GWENDOLYN President 1602 N. LAKESIDE DR, LAKE WORTH, FL 33460

Vice President

Name Role Address
SIMPSON, MARK Vice President 9605 N.W. 26TH COURT, CORAL SPRINGS, FL 33065

DOP

Name Role Address
RAMIREZ, ROSMIRA DOP 10830 STACEY LANE, BOCA RATON, FL 33428

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
Domestic Profit 2007-01-10

Date of last update: 27 Jan 2025

Sources: Florida Department of State