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COASTAL SPINE AND SPORT, LLC

Company Details

Entity Name: COASTAL SPINE AND SPORT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 12 Dec 2011 (13 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L11000139371
FEI/EIN Number 454066879
Address: 50 Leanni Way D1, PALM COAST, FL, 32137, US
Mail Address: 50 Leanni Way D1, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841562410 2012-01-30 2012-01-30 10 CYPRESS POINT PKWY STE 106, PALM COAST, FL, 321642503, US 10 CYPRESS POINT PKWY STE 106, PALM COAST, FL, 321642503, US

Contacts

Phone +1 386-283-5997
Fax 3862835652

Authorized person

Name DR. MICHAEL OSBORNE
Role OWNER
Phone 3862835997

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9489
State FL
Is Primary Yes

Agent

Name Role Address
OSBORNE MICHAEL JR Agent 50 Leanni Way D1, PALM COAST, FL, 32137

Managing Member

Name Role Address
OSBORNE MICHAEL JR Managing Member 50 Leanni Way D1, PALM COAST, FL, 32137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000087130 SPINE AND JOINT CENTER OF PALM COAST EXPIRED 2014-08-25 2019-12-31 No data 10 CYPRESS POINT PKWY SUITE 106, PALM COAST, FL, 32164

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2019-09-29 OSBORNE, MICHAEL, JR No data
REINSTATEMENT 2019-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-24 50 Leanni Way D1, PALM COAST, FL 32137 No data
CHANGE OF PRINCIPAL ADDRESS 2015-03-24 50 Leanni Way D1, PALM COAST, FL 32137 No data
CHANGE OF MAILING ADDRESS 2015-03-24 50 Leanni Way D1, PALM COAST, FL 32137 No data
LC AMENDMENT 2013-08-09 No data No data
LC AMENDMENT 2013-03-21 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001798751 TERMINATED 1000000555883 FLAGLER 2013-11-25 2023-12-26 $ 443.40 STATE OF FLORIDA0078487

Documents

Name Date
REINSTATEMENT 2019-09-29
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-03-31
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-03-24
ANNUAL REPORT 2014-01-14
LC Amendment 2013-08-09
LC Amendment 2013-03-21
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-03-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State