| Entity Name: | INTEGRATED SPORTS AND SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INTEGRATED SPORTS AND SPINE, 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. |
| 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: | 19 Oct 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2010 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (15 years ago) |
| Document Number: | L04000075763 |
| FEI/EIN Number |
201711655
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9623 ROYCE DR., TAMPA, FL, 33626 |
| Mail Address: | 9623 ROYCE DR., TAMPA, FL, 33626 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629249909 | 2008-03-14 | 2008-03-14 | 2905 RIGSBY LN, SAFETY HARBOR, FL, 346954828, US | 2905 RIGSBY LN, SAFETY HARBOR, FL, 346954828, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-797-0500 |
| Fax | 7277970050 |
Authorized person
| Name | DR. DAMON STAFFORD |
| Role | OWNER |
| Phone | 7277970500 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8146 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME97457 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | CH8146 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRIAN PRZYSTUP AND ASSOCIATES LLC | Agent | 275 NE 18TH ST, MIAMI, FL, 33132 |
| STAFFORD DAMON J | Manager | 9623 ROYCE DRIVE, TAMPA, FL, 33626 |
| RHODES RICHARD D | Managing Member | 8813 GRAND BAYOU CT, TAMPA, FL, 33635 |
| GROTEKE ERIC K | Managing Member | 3048 GLENWOOD CT, SAFTY HARBOR, FL, 34695 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08190900343 | NORTHWOOD SURGERY CENTER | EXPIRED | 2008-07-08 | 2013-12-31 | - | 3001 EASTLAND BLVD., BLDG. G STE.#2, CLEARWATER, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| REGISTERED AGENT NAME CHANGED | 2008-12-10 | BRIAN PRZYSTUP AND ASSOCIATES LLC | - |
| CANCEL ADM DISS/REV | 2008-12-10 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-12-10 | 275 NE 18TH ST, #310, MIAMI, FL 33132 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| LC AMENDMENT AND NAME CHANGE | 2008-02-19 | INTEGRATED SPORTS AND SPINE, LLC | - |
| CHANGE OF MAILING ADDRESS | 2007-04-25 | 9623 ROYCE DR., TAMPA, FL 33626 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-25 | 9623 ROYCE DR., TAMPA, FL 33626 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-30 |
| REINSTATEMENT | 2008-12-10 |
| LC Amendment and Name Change | 2008-02-19 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-03-30 |
| ANNUAL REPORT | 2005-04-11 |
| Florida Limited Liability | 2004-10-19 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
