| Entity Name: | SEYMOUR SPINE & REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Sep 2010 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2023 (a year ago) |
| Document Number: | L10000093108 |
| FEI/EIN Number | 271959548 |
| Mail Address: | 3225 N Hiatus Road, SUNRISE, FL, 33345, US |
| Address: | 3225 N. Hiatus Road, SUNRISE, FL, 33345, US |
| ZIP code: | 33345 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083054126 | 2013-07-03 | 2024-09-30 | 3225 N HIATUS RD UNIT 451988, SUNRISE, FL, 333458501, US | 3225 N HIATUS RD UNIT 451988, SUNRISE, FL, 333458501, US | |||||||||||||||||
|
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| Phone | +1 770-880-6514 |
Authorized person
| Name | ANDREA RHONEA HENLEY-SEYMOUR |
| Role | MANAGER |
| Phone | 7708806514 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME97055 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Henley- Seymour Andrea RDr. | Agent | 11581 NW 24th Street, PLANTATION, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| Henley- Seymour Andrea RDr. | Manager | 3225 N. Hiatus Road, SUNRISE, FL, 33345 |
| Name | Role | Address |
|---|---|---|
| SEYMOUR AMIR RDr. | Managing Member | 11581 NW 24th street, PLANTATION, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-17 | 3225 N. Hiatus Road, 451988, SUNRISE, FL 33345 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-17 | 3225 N. Hiatus Road, 451988, SUNRISE, FL 33345 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-27 | 11581 NW 24th Street, PLANTATION, FL 33323 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-24 | Henley- Seymour, Andrea R, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| REINSTATEMENT | 2023-10-02 |
| ANNUAL REPORT | 2022-07-17 |
| ANNUAL REPORT | 2021-06-24 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
