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INTEGRATIVE MEDICINE OF SOUTH FLORIDA, S. CORP

Company Details

Entity Name: INTEGRATIVE MEDICINE OF SOUTH FLORIDA, S. CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 01 Dec 2021 (3 years ago)
Document Number: P21000101018
FEI/EIN Number 87-3923054
Address: 429 COCONUT ISLE DR, FORT LAUDERDALE, FL 33301
Mail Address: 429 COCONUT ISLE DR, FORT LAUDERDALE, FL 33301
ZIP code: 33301
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194485276 2021-12-30 2021-12-30 429 COCONUT ISLE DR, FORT LAUDERDALE, FL, 333012425, US 2810 E OAKLAND PARK BLVD STE 201, FORT LAUDERDALE, FL, 333061822, US

Contacts

Phone +1 708-435-9434
Phone +1 954-248-3294
Fax 9546420439

Authorized person

Name DR. FARIDE RAMOS
Role OWNER
Phone 7084359434

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
GUIDO, ROMINA Agent 429 COCONUT ISLE DR, FORT LAUDERDALE, FL 33301

President

Name Role Address
RAMOS, FARIDE President 429 COCONUT ISLE DR, FORT LAUDERDALE, FL 33301

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000060945 DR. FARIDE RAMOS, M.D. ACTIVE 2022-05-16 2027-12-31 No data 429 COCONUT ISLE DR, FORT LAUDERDALE, FL, 33301

Documents

Name Date
ANNUAL REPORT 2024-02-18
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-31
Domestic Profit 2021-12-01

Date of last update: 13 Jan 2025

Sources: Florida Department of State