| Entity Name: | PALM BEACH INTEGRATIVE RHEUMATOLOGY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Aug 2023 (a year ago) |
| Document Number: | P23000062115 |
| FEI/EIN Number | 933137399 |
| Address: | 601 UNIVERSITY BLVD, SUITE 202, JUPITER, FL, 33458, US |
| Mail Address: | 601 UNIVERSITY BLVD, SUITE 202, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043096712 | 2023-09-07 | 2024-02-01 | 601 UNIVERSITY BLVD STE 202, JUPITER, FL, 334582788, US | 601 UNIVERSITY BLVD STE 202A, JUPITER, FL, 334582788, US | |||||||||||||||
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| Phone | +1 561-658-1323 |
| Fax | 5617754990 |
Authorized person
| Name | DR. RESHMA M KHAN |
| Role | PRESIDENT |
| Phone | 5616581323 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAN MUSHARAF | Agent | 601 UNIVERSITY BLVD, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| KHAN RESHMA M | President | 601 UNIVERSITY BLVD, SUITE 202, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000132064 | LIFE ENERGY COACHING | ACTIVE | 2023-10-26 | 2028-12-31 | No data | 601 UNIVERSITY BLVD, SUITE 202, JUPITER, FL, 33458 |
| G23000103829 | PALM BEACH RHEUMATOLOGY & WELLNESS | ACTIVE | 2023-09-01 | 2028-12-31 | No data | 601 UNIVERSITY BLVD, SUITE 202, JUPITER, FL, 33458 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| Domestic Profit | 2023-08-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
