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MOUNTAIN SPINE AND ACCIDENT CENTER, LLC - Florida Company Profile

Company Details

Entity Name: MOUNTAIN SPINE AND ACCIDENT CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MOUNTAIN SPINE AND ACCIDENT CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 18 Dec 2003 (21 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: L03000054390
FEI/EIN Number 200494716

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 288 E State Road 434, Longwood, FL, 32750, US
Mail Address: 201 Ancona ave., Debary, FL, 32713, US
ZIP code: 32750
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902833361 2006-06-28 2020-08-22 777 DELTONA BLVD, SUITE 21, DELTONA, FL, 327257173, US 777 DELTONA BLVD, SUITE 21, DELTONA, FL, 327257173, US

Contacts

Phone +1 386-575-2225
Fax 3865751096

Authorized person

Name MATTHEW THOMAS MOUNTAIN
Role CLINIC DIRECTOR
Phone 3865752225

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
MOUNTAIN MATTHEW T Manager 201 Ancona ave., Debary, FL, 32713
Mountain Matthew T Agent 201 Ancona ave., Debary, FL, 32713

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000116862 MOUNTAIN MEDICAL CENTER EXPIRED 2015-11-17 2020-12-31 - 1118 SOUTH ORANGE AVE, SUITE 103, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2019-07-02 201 Ancona ave., Debary, FL 32713 -
REINSTATEMENT 2019-07-02 - -
CHANGE OF MAILING ADDRESS 2019-07-02 288 E State Road 434, Longwood, FL 32750 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT NAME CHANGED 2017-01-17 Mountain, Matthew T -
CHANGE OF PRINCIPAL ADDRESS 2017-01-17 288 E State Road 434, Longwood, FL 32750 -
REINSTATEMENT 2014-04-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
REINSTATEMENT 2007-09-25 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14000691211 LAPSED 1000000616692 VOLUSIA 2014-04-24 2024-05-29 $ 1,241.33 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192
J13000494576 LAPSED 1000000434571 VOLUSIA 2013-01-30 2023-02-27 $ 913.57 STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179
J12000058936 LAPSED 2011 22215 CONS VOLUSIA COUNTY COURT 2012-01-17 2017-01-30 $9074.72 HENRY SCHEIN, INC., C/O WILLIAM M. LINDEMAN, P.A., POST OFFICE BOX 3506, ORLANDO, FL 32802

Documents

Name Date
REINSTATEMENT 2019-07-02
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-09-12
ANNUAL REPORT 2015-01-08
AMENDED ANNUAL REPORT 2014-04-10
REINSTATEMENT 2014-04-09
ANNUAL REPORT 2012-07-02
ANNUAL REPORT 2011-04-19
ANNUAL REPORT 2010-04-29
ANNUAL REPORT 2009-04-29

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3192235009 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES - - TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient MOUNTAIN SPINE AND ACCIDENT CENTER, LLC
Recipient Name Raw MOUNTAIN SPINE AND ACCIDENT CENTER, LLC
Recipient DUNS 114663300
Recipient Address 777 DELTONA BOULDVARD, SUIT, DELTONA, VOLUSIA, FLORIDA, 32725-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 71000.00
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Date of last update: 01 Apr 2025

Sources: Florida Department of State