| Entity Name: | CENTER FOR INDIVIDUALIZED MEDICINE AND AGE MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CENTER FOR INDIVIDUALIZED MEDICINE AND AGE MANAGEMENT, 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: | 16 Nov 2012 (12 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | P12000095487 |
| FEI/EIN Number |
461499784
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12007 Lake Shadow Brook Lane, ORLANDO, FL, 32828, US |
| Mail Address: | 12007 Lake Shadow Brook Lane, ORLANDO, FL, 32828, US |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447689203 | 2013-11-02 | 2013-11-02 | 11616 LAKE UNDERHILL RD, STE 205, ORLANDO, FL, 328254463, US | 11616 LAKE UNDERHILL RD, STE 205, ORLANDO, FL, 328254463, US | |||||||||||||||||||
|
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| Phone | +1 407-273-7399 |
| Fax | 4072731928 |
Authorized person
| Name | DR. MILDRED DONIS-RIVERA |
| Role | OSNER/PRESIDENT |
| Phone | 4072737399 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME55637 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DONIS RIVERA MILDRED MD | President | 12007 Lake Shadow Brook Lane, ORLANDO, FL, 32828 |
| Donis Silva Mildred Dr. | Agent | 12007 Lake Shadow Brook Lane, ORLANDO, FL, 32828 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000029355 | CIMA | EXPIRED | 2015-03-20 | 2020-12-31 | - | CENTER FOR INDIVIDUALIZED MEDICINE AND A, 11616 LAKE UNDERHILL RD, ORLANDO, FL, 32825 |
| G13000104939 | CIMA | EXPIRED | 2013-10-24 | 2018-12-31 | - | 11616 LAKE UNDERHILL RD, SUITE 205, ORLANDO, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 12007 Lake Shadow Brook Lane, ORLANDO, FL 32828 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 12007 Lake Shadow Brook Lane, ORLANDO, FL 32828 | - |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 12007 Lake Shadow Brook Lane, ORLANDO, FL 32828 | - |
| REGISTERED AGENT NAME CHANGED | 2017-04-26 | Donis Silva, Mildred, Dr. | - |
| REINSTATEMENT | 2016-11-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| REINSTATEMENT | 2013-10-21 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| REINSTATEMENT | 2016-11-09 |
| ANNUAL REPORT | 2015-08-20 |
| ANNUAL REPORT | 2014-04-15 |
| REINSTATEMENT | 2013-10-21 |
| Domestic Profit | 2012-11-16 |
Date of last update: 03 May 2025
Sources: Florida Department of State
