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INTEGRATED FAMILY WELLNESS, INC.

Company Details

Entity Name: INTEGRATED FAMILY WELLNESS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Dec 2012 (12 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P12000099681
FEI/EIN Number 46-1515732
Address: 11428 CLEAR CREEK PLACE, BOCA RATON, FL, 33428, US
Mail Address: 11428 CLEAR CREEK PLACE, BOCA RATON, FL, 33428, US
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144565623 2012-12-10 2013-05-13 2525 EMBASSY DR, SUITE 7, HOLLYWOOD, FL, 330264573, US 2525 EMBASSY DR, SUITE 7, HOLLYWOOD, FL, 330264573, US

Contacts

Phone +1 954-431-6884
Fax 9544366936

Authorized person

Name DR. CHRISTOPHER ANCONA
Role OWNER
Phone 5613064284

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number CH10364
State FL
Is Primary Yes

Agent

Name Role Address
ANCONA CHRISTOPHER L Agent 11428 CLEAR CREEK PLACE, BOCA RATON, FL, 33428

President

Name Role Address
ANCONA CHRISTOPHER L President 11428 CLEAR CREEK PLACE, BOCA RATON, FL, 33428

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-04-29
ANNUAL REPORT 2014-04-09
ANNUAL REPORT 2013-04-15
Domestic Profit 2012-12-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State