| Entity Name: | INTERNAL MEDICINE INSTITUTE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2015 (9 years ago) |
| Document Number: | P15000079371 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 198 Nw 37TH Ave, MIAMI, FL, 33125, US |
| Mail Address: | 1321 NW 14 ST, 203, MIAMI, FL, 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649433764 | 2008-07-09 | 2017-01-24 | 1109 BRYN MAWR AVE, LAKE WALES, FL, 338534333, US | 1109 BRYN MAWR AVE, LAKE WALES, FL, 338534333, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 863-679-2984 |
Authorized person
| Name | DR. BENIGNO FELICIANO |
| Role | PRESIDENT |
| Phone | 8636792984 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 270356400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABBASSI TONY | Agent | 1321 NW 14 ST, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| ABBASSI TONY | President | 1321 NW 14 ST, 203, MIAMI, FL, 33125 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000048476 | IMI CORP. | EXPIRED | 2019-04-18 | 2024-12-31 | No data | 1321 NW 14 ST., 203, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-11 | 198 Nw 37TH Ave, MIAMI, FL 33125 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-05-18 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-12 |
| Domestic Profit | 2015-09-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
