| Entity Name: | PEAK POTENTIAL INTEGRATIVE MEDICAL CENTER NPB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Aug 2018 (6 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P18000071040 |
| Address: | 11951 US HIGHWAY 1, SUITE 105, NORTH PALM BEACH, FL, 33408 |
| Mail Address: | 11951 US HIGHWAY 1, SUITE 105, NORTH PALM BEACH, FL, 33408 |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528539558 | 2018-12-17 | 2019-06-11 | 11951 US HIGHWAY 1 STE 105, NORTH PALM BEACH, FL, 334082804, US | 11951 US HIGHWAY 1 STE 105, NORTH PALM BEACH, FL, 334082804, US | |||||||||||||||||||
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| Phone | +1 866-719-2220 |
| Fax | 8667192220 |
Authorized person
| Name | DR. JOHN DELUCA |
| Role | MEDICAL DIRECTOR |
| Phone | 8667192220 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FLORIDA |
| Number | 1417283706 |
| Name | Role | Address |
|---|---|---|
| DELUCA JOHN | Agent | 11951 US HIGHWAY 1, NORTH PALM BEACH, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| DELUCA JOHN | President | 11951 US HIGHWAY 1, SUITE 105, NORTH PALM BEACH, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2018-08-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
