| Entity Name: | INSPIRED FUNCTIONAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jan 2022 (3 years ago) |
| Document Number: | P22000009323 |
| FEI/EIN Number | 87-4704787 |
| Address: | 1108 S CHATEAU PT, INVERNESS, FL, 34450 |
| Mail Address: | 1108 S CHATEAU PT, INVERNESS, FL, 34450 |
| ZIP code: | 34450 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700518818 | 2022-06-28 | 2024-05-14 | 2349 N LECANTO HWY UNIT B, LECANTO, FL, 344616102, US | 330 S LINE AVE, INVERNESS, FL, 344524606, US | |||||||||||||||||
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| Phone | +1 352-444-9868 |
| Fax | 3523582996 |
| Fax | 3523582966 |
Authorized person
| Name | DR. ROBIN HOLLOWAY |
| Role | OWNER |
| Phone | 3526130997 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLLOWAY ROBIN | Agent | 1108 S CHATEAU PT, INVERNESS, FL, 34450 |
| Name | Role | Address |
|---|---|---|
| HOLLOWAY ROBIN | President | 1108 S CHATEAU PT, INVERNESS, FL 34450, FL, 34450 |
| Name | Role | Address |
|---|---|---|
| HOLLOWAY CHRISTOPHER | Vice President | 1108 S CHATEAU PT, INVERNESS, FL 34450, FL, 34450 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-27 |
| Domestic Profit | 2022-01-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
