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ALTERNATIVE MEDICAL INSTITUTE CORP.

Company Details

Entity Name: ALTERNATIVE MEDICAL INSTITUTE CORP.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 05 Nov 2012 (12 years ago)
Date of dissolution: 03 Jun 2014 (11 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 03 Jun 2014 (11 years ago)
Document Number: P12000092671
FEI/EIN Number 46-1242126
Address: 20 BARKLEY CIRCLE, SUITE 201, FORT MYERS, FL 33908
Mail Address: 20 BARKLEY CIRCLE, SUITE 201, FORT MYERS, FL 33908
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649523051 2012-10-23 2013-01-24 20 BARKLEY CIR, SUITE 201, FORT MYERS, FL, 339074545, US 20 BARKLEY CIR, SUITE 201, FORT MYERS, FL, 339074545, US

Contacts

Phone +1 941-815-1103
Fax 2392457746
Fax 2395415445

Authorized person

Name WILLIAM HAYES WYTTENBACH
Role CHAIRMAN/MEDICAL DIRECTOR
Phone 9418151103

Taxonomy

Taxonomy Code 207LA0401X - Addiction Medicine (Anesthesiology) Physician
License Number ME 46329
State FL
Is Primary Yes

Agent

Name Role Address
COURSON, DAVID Agent 12462 KROME AVE, PORT CHARLOTTE, FL 33981

Registered Agent

Name Role Address
Courson, David Registered Agent 12462 KROME AVE, PORT CHARLOTTE, FL 33981

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-06-03 No data No data
CHANGE OF MAILING ADDRESS 2014-03-20 20 BARKLEY CIRCLE, SUITE 201, FORT MYERS, FL 33908 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2014-06-03
ANNUAL REPORT 2014-03-20
ANNUAL REPORT 2013-04-15
Domestic Profit 2012-11-05

Date of last update: 23 Jan 2025

Sources: Florida Department of State