| Entity Name: | INTEGRATED PELVIC HEALTH AND REHABILITATION OF SOUTHWEST FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Nov 2015 (9 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P15000092241 |
| Address: | 5929 APPROACH RD., SARASOTA, FL, 34238, US |
| Mail Address: | 5929 APPROACH RD., SARASOTA, FL, 34238, US |
| ZIP code: | 34238 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790159507 | 2015-11-17 | 2015-11-17 | 5929 APPROACH RD, SARASOTA, FL, 342385720, US | 5929 APPROACH RD, SARASOTA, FL, 342385720, US | |||||||||||||||||||
|
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| Phone | +1 941-724-4653 |
| Fax | 9414447689 |
Authorized person
| Name | MICHAEL CHRISTOPHER VIA |
| Role | OWNER |
| Phone | 9417244653 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | PT12074 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VIA MICHAEL | Agent | 5150 OLD ASHWOOD DRIVE, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| VIA MICHAEL | Treasurer | 5929 APPROACH RD., SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| VIA MICHAEL | President | 5929 APPROACH RD., SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| VIA MICHAEL | Secretary | 5929 APPROACH RD., SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| VIA MICHAEL | Director | 5929 APPROACH RD., SARASOTA, FL, 34238 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-11-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
