| Entity Name: | FLORIDA SPINE & REHAB CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA SPINE & REHAB 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. |
| 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: | 09 Mar 2010 (15 years ago) |
| Date of dissolution: | 25 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jun 2020 (5 years ago) |
| Document Number: | L10000026823 |
| FEI/EIN Number |
27-2147589
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 483 N Semoran Blvd, #104, Winter Park, FL, 32792, US |
| Mail Address: | 483 N Semoran Blvd, #104, Winter Park, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396032793 | 2011-07-06 | 2013-01-07 | 483 N. SEMORAN BLVD, SUITE 104, WINTER PARK, FL, 327924549, US | 483 N SEMORAN BLVD STE 104, WINTER PARK, FL, 327923800, US | |||||||||||||||||||||||||
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| Phone | +1 407-772-2225 |
| Fax | 4077720302 |
Authorized person
| Name | TY ANTHONY TRUDEAU |
| Role | PHYSICIAN/OWNER |
| Phone | 4077722225 |
Taxonomy
| Taxonomy Code | 111NX0800X - Orthopedic Chiropractor |
| License Number | CH7566 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1235252537 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRUDEAU TY A | Authorized Member | 3160 LAKE BREEZE CR, ST CLOUD, FL, 34771 |
| SANTISTEBAN ALICIA | Authorized Member | 8700 SOUTHERN BREEZE DR, ORLANDO, FL, 32836 |
| Trudeau Ty Dr. | Agent | 483 N Semoran Blvd, Winter Park, FL, 32792 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000041176 | ORLANDO NECK & BACK | EXPIRED | 2013-04-29 | 2018-12-31 | - | 483 N. SEMORAN BLVD., STE 104, WINTER PARK, FL, 32792 |
| G10000098666 | GEMINI DUPLICATIONS | EXPIRED | 2010-10-27 | 2015-12-31 | - | P.O. BOX 4549, WINTER PARK, FL, 32793 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-25 | - | - |
| LC AMENDMENT | 2018-01-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-11 | 483 N Semoran Blvd, #104, Winter Park, FL 32792 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-11 | 483 N Semoran Blvd, #104, Winter Park, FL 32792 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-11 | 483 N Semoran Blvd, #104, Winter Park, FL 32792 | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-11 | Trudeau, Ty, Dr. | - |
| LC AMENDMENT AND NAME CHANGE | 2010-05-24 | FLORIDA SPINE & REHAB CENTER, LLC | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-25 |
| ANNUAL REPORT | 2019-04-26 |
| LC Amendment | 2018-01-26 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
