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ENCOMPASS CHIROPRACTIC MEDICAL & INJURY CENTER, LLC

Company Details

Entity Name: ENCOMPASS CHIROPRACTIC MEDICAL & INJURY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Nov 2010 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 08 Mar 2011 (14 years ago)
Document Number: L10000121500
FEI/EIN Number 274003665
Address: 5336 S. JOHN YOUNG PARKWAY, ORLANDO, FL, 32839, US
Mail Address: 5336 S. JOHN YOUNG PARKWAY, ORLANDO, FL, 32839, US
ZIP code: 32839
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821380890 2011-05-10 2011-05-10 5336 S JOHN YOUNG PKWY, ORLANDO, FL, 328397363, US 5336 S JOHN YOUNG PKWY, ORLANDO, FL, 328397363, US

Contacts

Phone +1 407-802-3855
Fax 4079794967

Authorized person

Name MR. VICTOR MANUEL LASA
Role OWER
Phone 4078023855

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9316
State FL
Is Primary Yes

Agent

Name Role Address
LASA VICTOR M Agent 4932 WEST S.R. 46, SANFORD, FL, 32771

Managing Member

Name Role Address
LASA VICTOR M Managing Member 4932 WEST S.R. 46, SUITE 1006, SANFORD, FL, 32771

Manager

Name Role Address
Lasa Victor Manager 5336 S. JOHN YOUNG PARKWAY, ORLANDO, FL, 32839

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000137834 IMPERIAL ORHOPEDIC AND SPINE CENTER ACTIVE 2022-11-04 2027-12-31 No data 5334 S. JOHN YOUNG PKWY, ORLANDO, FL, 32839
G22000137850 IMPERIAL ORTHOPEDIC AND SPINE CENTER ACTIVE 2022-11-04 2027-12-31 No data 5334 S. JOHN YOUNG PKWY, ORLANDO, FL, 32839

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-02-11 5336 S. JOHN YOUNG PARKWAY, ORLANDO, FL 32839 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-12 5336 S. JOHN YOUNG PARKWAY, ORLANDO, FL 32839 No data
LC AMENDMENT 2011-03-08 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-02-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State