| Entity Name: | JAX SPINE & REHAB PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jul 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2012 (12 years ago) |
| Document Number: | L10000076325 |
| FEI/EIN Number | 27-3585360 |
| Address: | C/O R CROSBY, 13170 Atlantic Blvd # 28, JACKSONVILLE, FL, 32225, US |
| Mail Address: | C/O R CROSBY, 4216 RIPKEN CIRCLE EAST, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346594322 | 2012-10-30 | 2012-10-30 | 4216 RIPKEN CIR E, JACKSONVILLE, FL, 322249675, US | 13475 ATLANTIC BLVD STE 28, JACKSONVILLE, FL, 322253290, US | |||||||||||||||||
|
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| Phone | +1 904-333-6164 |
Authorized person
| Name | DR. RICHARD ADAM CROSBY |
| Role | CEO |
| Phone | 9043336164 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9780 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROSBY RICHARD A | Agent | RICHARD ADAM CROSBY, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| CROSBY RICHARD AMGRM | Managing Member | 4216 RIPKEN CIRCLE EAST, JACKSONVILLE, FL, 32224 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000044360 | ATLANTIC CHIROPRACTIC & PHYSICAL MEDICINE | ACTIVE | 2024-04-01 | 2029-12-31 | No data | 13170 ATLANTIC BLVD # 28, JACKSONVILLE, FL, 32225 |
| G13000024860 | ATLANTIC CHIROPRACTIC & PHYSICAL MEDICINE | EXPIRED | 2013-03-12 | 2018-12-31 | No data | 4216 RIPKEN CIRCLE EAST, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-19 | C/O R CROSBY, 13170 Atlantic Blvd # 28, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-19 | C/O R CROSBY, 13170 Atlantic Blvd # 28, JACKSONVILLE, FL 32225 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-19 | CROSBY, RICHARD A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-19 | RICHARD ADAM CROSBY, 13170 Atlantic Blvd # 28, JACKSONVILLE, FL 32225 | No data |
| REINSTATEMENT | 2012-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-02-09 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
