| Entity Name: | INTEGRATIVE PHYSICIAN SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Jan 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P15000005430 |
| FEI/EIN Number | 47-2869788 |
| Address: | 3930 South Nova Road, Port orange, FL, 32127, US |
| Mail Address: | 4750 East Moody Blvd, Bunnel, FL, 32110, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306237300 | 2015-02-11 | 2015-02-11 | 138 PALM COAST PKWY NE, SUITE 127, PALM COAST, FL, 321378241, US | 4490 N US HIGHWAY 1, SUITE 108, BUNNELL, FL, 321104374, US | |||||||||||||||||||
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| Phone | +1 800-362-4183 |
| Fax | 3864563071 |
Authorized person
| Name | DR. STEVEN WILLIAM OLIVER |
| Role | OWNER/PHYSICIAN |
| Phone | 8003624183 |
Taxonomy
| Taxonomy Code | 111NI0013X - Independent Medical Examiner Chiropractor |
| License Number | CH11373 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLIVER STEVEN WDR. | Agent | 502 North Lemon Street, Bunnell, FL, 32110 |
| Name | Role | Address |
|---|---|---|
| AXV SOLUTIONS,LLC | Vice President | 19134 CLOVER MEADOW PLACE, GAITHERSBURG, MD, 20879 |
| Stevens Michael | Vice President | 1645 DUNLAWTON AVE, Port Orange, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| Oliver Steve WDR. | President | 502 N.Lemon St, Bunnell, FL, 32110 |
| Name | Role | Address |
|---|---|---|
| Oliver Steve WDR. | Chairman | 502 N.Lemon St, Bunnell, FL, 32110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-29 | 3930 South Nova Road, Suite 105, Port orange, FL 32127 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 3930 South Nova Road, Suite 105, Port orange, FL 32127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-01 | 502 North Lemon Street, Bunnell, FL 32110 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-08 |
| ANNUAL REPORT | 2016-04-30 |
| Domestic Profit | 2015-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
