| Entity Name: | INTEGRATED MEDICAL CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Dec 1995 (29 years ago) |
| Document Number: | P96000000217 |
| FEI/EIN Number | 650631922 |
| Address: | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Mail Address: | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174689962 | 2006-12-28 | 2013-06-05 | 1261 S PINE ISLAND RD, PLANTATION, FL, 333244418, US | 1261 S PINE ISLAND RD, PLANTATION, FL, 333244418, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-370-1900 |
| Fax | 9544766281 |
Authorized person
| Name | DR. DAVID SCOTT POPKIN |
| Role | OWNER |
| Phone | 9543701900 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NN1001X - Nutrition Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NX0800X - Orthopedic Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 380402000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEINBERG STEVEN A | Agent | 7805 SW 6TH COURT, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| POPKIN DAVID S | Director | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000072033 | QUANTUM WELLNESS CENTER | EXPIRED | 2018-06-27 | 2023-12-31 | No data | 1261SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| G18000031162 | QUANTUM MEDICAL & WELLNESS CENTER | ACTIVE | 2018-03-06 | 2028-12-31 | No data | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| G10000033075 | QUANTUM WELLNESS CENTER | EXPIRED | 2010-04-13 | 2015-12-31 | No data | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-27 | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 1261 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-01-21 | WEINBERG, STEVEN A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-21 | 7805 SW 6TH COURT, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2015298510 | 2021-02-19 | 0455 | PPS | 1261 S Pine Island Rd, Plantation, FL, 33324-4418 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8139217206 | 2020-04-28 | 0455 | PPP | 1261 South Pine Island Road, Plantation, FL, 33324 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
