Entity Name: | FLORIDA INJURY MEDICAL CENTERS INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 08 Mar 2024 (a year ago) |
Document Number: | P24000017926 |
Address: | 125 E. MERRITT ISLAND CSWY, SUITE 107#406, MERRITT ISLAND, FL 32952 |
Mail Address: | 125 E. MERRITT ISLAND CSWY, SUITE 107#406, MERRITT ISLAND, FL 32952 |
ZIP code: | 32952 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124583166 | 2019-02-04 | 2019-02-04 | 432 N PINE MEADOW DR, DEBARY, FL, 327132306, US | 432 N PINE MEADOW DR, DEBARY, FL, 327132306, US | |||||||||||||
|
Phone | +1 386-742-7312 |
Authorized person
Name | DR. KEVIN DALE HUFFMAN |
Role | OWNER |
Phone | 3867427312 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KEVIN, HUFFMAN | Agent | 1360 HOLLY AVE., MERRITT ISLAND, FL 32952 |
Name | Role | Address |
---|---|---|
HUFFMAN, YOUNG | Vice President | 1360 HOLLY AVE., MERRITT ISLAND, FL 32852 |
Name | Role | Address |
---|---|---|
HUFFMAN, KEVIN | President | 1360 HOLLY AVE., MERRITT ISLAND, FL 32952 |
Name | Date |
---|---|
Domestic Profit | 2024-03-08 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State