| Entity Name: | TAMPA SPORT & SPINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Apr 2013 (12 years ago) |
| Date of dissolution: | 07 Mar 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Mar 2015 (10 years ago) |
| Document Number: | L13000052342 |
| FEI/EIN Number | 46-2495351 |
| Address: | 1780 S. Nova Rd, South Daytona, FL, 32119, US |
| Mail Address: | 170 Acklins Circle, Daytona Beach, FL, 32119, US |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275933681 | 2014-09-04 | 2014-09-04 | 170 ACKLINS CIR, APARTMENT 308, DAYTONA BEACH, FL, 321199781, US | 949 BEVILLE RD, D5, SOUTH DAYTONA, FL, 321191705, US | |||||||||||||||||
|
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| Phone | +1 813-230-3607 |
Authorized person
| Name | DR. TAYLOR JOURDAN LEVICK |
| Role | OWNER |
| Phone | 8132303607 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH10885 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEVICK TAYLOR JDC | Agent | 170 Acklins Circle, Daytona Beach, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| LEVICK TAYLOR JDC | Managing Member | 170 Acklins Circle, Daytona Beach, FL, 32119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000123353 | LEVICK PERFORMANCE & REHAB | EXPIRED | 2013-12-17 | 2018-12-31 | No data | 1052 KIMBERLY CT, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-25 | 1780 S. Nova Rd, Suite 9, South Daytona, FL 32119 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-25 | 1780 S. Nova Rd, Suite 9, South Daytona, FL 32119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-25 | 170 Acklins Circle, #308, Daytona Beach, FL 32119 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-07 |
| ANNUAL REPORT | 2014-02-25 |
| Florida Limited Liability | 2013-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
