| Entity Name: | BREVARD SPINE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Sep 2011 (13 years ago) |
| Date of dissolution: | 25 Jul 2013 (12 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jul 2013 (12 years ago) |
| Document Number: | L11000101888 |
| FEI/EIN Number | 453212223 |
| Address: | 2055 EVA LANE, MALABAR, FL, 32950, US |
| Mail Address: | 158 GLEN VIEW TERR, ABINGDON, MD, 21009, US |
| ZIP code: | 32950 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184907842 | 2011-09-20 | 2011-10-04 | 2080 DUNCIL LN, MALABAR, FL, 329503215, US | 878 N MIRAMAR AVE, INDIALANTIC, FL, 329033054, US | |||||||||||||||||
|
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| Phone | +1 321-676-0020 |
Authorized person
| Name | DR. JOSE ANDRES DEVESA |
| Role | MANAGING MEMBER |
| Phone | 3525389768 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10213 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEVESE JOSE A | Agent | 2055 EVA LANE, MALABAR, FL, 32950 |
| Name | Role | Address |
|---|---|---|
| DEVESA JOSE A | Managing Member | 158 GLEN VIEW TERR, ABINGDON, MD, 21009 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000096659 | DEVESA CHIROPRACTIC AND REHABILITATION | EXPIRED | 2011-09-30 | 2016-12-31 | No data | 878 N MIRAMAR AVE, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2013-07-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 2055 EVA LANE, MALABAR, FL 32950 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 2055 EVA LANE, MALABAR, FL 32950 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 2055 EVA LANE, MALABAR, FL 32950 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2013-07-25 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| Florida Limited Liability | 2011-09-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
