| Entity Name: | SWFL INTEGRATIVE MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Nov 2020 (4 years ago) |
| Document Number: | P19000003638 |
| FEI/EIN Number | 38-4103568 |
| Address: | 1570 COLONIAL BLVD., SUITE A, FT. MYERS, FL, 33907, US |
| Mail Address: | 1570 COLONIAL BLVD., SUITE A, FT. MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386265254 | 2020-05-02 | 2020-05-02 | 1570 COLONIAL BLVD STE A, FORT MYERS, FL, 339071031, US | 1570 COLONIAL BLVD STE A, FORT MYERS, FL, 339071031, US | |||||||||||||||||
|
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| Phone | +1 239-208-6676 |
Authorized person
| Name | DR. HEATHER V AULD |
| Role | OWNER |
| Phone | 2392086676 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Auld Heather VDr. | Agent | 1570 COLONIAL BLVD., SUITE A, FT. MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| Beeson Robert J | Officer | 1570 Colonial Blvd., Fort Myers, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-11-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-02 | Auld, Heather Vivian, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-02 | 1570 COLONIAL BLVD., SUITE A, FT. MYERS, FL 33907 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-16 | 1570 COLONIAL BLVD., SUITE A, FT. MYERS, FL 33907 | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2019-05-16 | SWFL INTEGRATIVE MEDICINE, P.A. | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-16 | 1570 COLONIAL BLVD., SUITE A, FT. MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-05 |
| REINSTATEMENT | 2020-11-02 |
| Amended/Restated Article/NC | 2019-05-16 |
| Domestic Profit | 2019-01-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
