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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
COURSON, DAVID | Agent | 12462 KROME AVE, PORT CHARLOTTE, FL 33981 |
Name | Role | Address |
---|---|---|
Courson, David | Registered Agent | 12462 KROME AVE, PORT CHARLOTTE, FL 33981 |
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 |
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