| Entity Name: | INTEGRATED MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
INTEGRATED MEDICAL GROUP, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 12 Oct 1998 (27 years ago) |
| Date of dissolution: | 22 Oct 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Oct 2015 (10 years ago) |
| Document Number: | P98000087346 |
| FEI/EIN Number |
593540826
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205, US |
| Mail Address: | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578782132 | 2007-04-24 | 2010-09-08 | 2401 GRAND BLVD, HOLIDAY, FL, 346904508, US | 2401 GRAND BLVD, HOLIDAY, FL, 346904508, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-934-5757 |
| Fax | 7279376258 |
Authorized person
| Name | DAVID HUBER |
| Role | PROVIDER OWNER |
| Phone | 7279345757 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH2603 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AMERIGROUP GROUP ID |
| Number | 235001 |
| State | FL |
| Issuer | BLUE CROSS GROUP PROVIDER |
| Number | 55738 |
| State | FL |
| Issuer | MEDICAID |
| Number | 381250200 |
| State | FL |
| Issuer | AVMED GROUP ID |
| Number | 280679 |
| State | FL |
| Issuer | STAYWELL GROUP ID |
| Number | 176018 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUBER DAVID C | President | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205 |
| HUBER DAVID C | Vice President | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205 |
| HUBER DAVID C | Secretary | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205 |
| HUBER DAVID C | Treasurer | HEDRICK ST., JACKSONVILLE, FL, 32205 |
| HUBER DAVID C | Director | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205 |
| HUBER DAVID C | Agent | 3626 HEDRICK ST., JACKSONVILLE, FL, 32205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-10-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-10 | 3626 HEDRICK ST., JACKSONVILLE, FL 32205 | - |
| CHANGE OF MAILING ADDRESS | 2012-01-10 | 3626 HEDRICK ST., JACKSONVILLE, FL 32205 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-10 | 3626 HEDRICK ST., JACKSONVILLE, FL 32205 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-10-22 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-01-15 |
| ANNUAL REPORT | 2013-01-16 |
| ANNUAL REPORT | 2012-01-10 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-02-22 |
| ANNUAL REPORT | 2009-03-28 |
| ANNUAL REPORT | 2008-01-16 |
| ANNUAL REPORT | 2007-02-16 |
Date of last update: 02 May 2025
Sources: Florida Department of State
