| Entity Name: | COASTAL SPINE AND SPORT OF DAYTONA BEACH L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Oct 2013 (11 years ago) |
| Date of dissolution: | 26 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jun 2020 (5 years ago) |
| Document Number: | L13000147068 |
| FEI/EIN Number | 46-4041152 |
| Address: | 912 S. RIDGEWOOD AVE., UNIT D, DAYTONA BEACH, FL, 32114 |
| Mail Address: | 760 S. Volusia Ave., #100, Orange City, FL, 32763, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346679610 | 2013-11-06 | 2013-11-06 | 912 S RIDGEWOOD AVE, STE. D, DAYTONA BEACH, FL, 321145349, US | 912 S RIDGEWOOD AVE, STE. D, DAYTONA BEACH, FL, 321145349, US | |||||||||||||||||
|
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| Phone | +1 407-496-7998 |
Authorized person
| Name | DR. CHRIS LEE WOJCIK |
| Role | MANAGING MEMBER |
| Phone | 4074967998 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH9679 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOJCIK CHRIS L | Agent | 760 S. Volusia Ave., Orange City, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| WOJCIK CHRIS | Managing Member | 760 S. VOLUSIA AVE. #100, ORANGE CITY, FL, 32763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000087135 | SPINE AND JOINT CENTER OF DAYTONA BEACH | EXPIRED | 2014-08-25 | 2019-12-31 | No data | 912 S. RIDGEWOOD AVE SUITE D, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-26 | No data | No data |
| REINSTATEMENT | 2018-12-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-12 | 912 S. RIDGEWOOD AVE., UNIT D, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-12 | WOJCIK, CHRIS L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-12-12 | 760 S. Volusia Ave., #100, Orange City, FL 32763 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-26 |
| ANNUAL REPORT | 2019-02-27 |
| REINSTATEMENT | 2018-12-12 |
| ANNUAL REPORT | 2014-02-10 |
| Florida Limited Liability | 2013-10-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
