| Entity Name: | COASTAL SPINE AND REHAB CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Sep 2011 (13 years ago) |
| Document Number: | L11000106858 |
| FEI/EIN Number | 453326224 |
| Address: | 13910 FIVAY ROAD, SUITE 10, HUDSON, FL, 34667, US |
| Mail Address: | 13910 FIVAY ROAD, SUITE 10, HUDSON, FL, 34667, US |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952673766 | 2012-02-09 | 2016-02-12 | 13910 FIVAY RD, STE. 10, HUDSON, FL, 346677154, US | 13910 FIVAY RD, STE 10, HUDSON, FL, 346677154, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 727-862-3509 |
| Fax | 7278623500 |
Authorized person
| Name | DR. THERESA CRANDALL |
| Role | CHIROPRACTOR |
| Phone | 7278623509 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 10521 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| A+ Tax & Accounting Services | Agent | 6551 Ridge Road, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| CRANDALL THERESA | Managing Member | 13910 FIVAY ROAD, HUDSON, FL, 34667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-11 | 6551 Ridge Road, SUITE 3, PORT RICHEY, FL 34668 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-28 | 13910 FIVAY ROAD, SUITE 10, HUDSON, FL 34667 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-28 | 13910 FIVAY ROAD, SUITE 10, HUDSON, FL 34667 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-28 | A+ Tax & Accounting Services | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
