| Entity Name: | PAIN AND SPINE PHYSIO REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PAIN AND SPINE PHYSIO REHAB LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 12 May 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L14000076992 |
| FEI/EIN Number |
46-5656020
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 100 SOUTHPARK BLVD STE 408 B, SAINT AUGUSTINE, FL, 32086, US |
| Mail Address: | 100 SOUTHPARK BLVD STE 408 B, SAINT AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073918371 | 2014-10-29 | 2015-03-24 | 100 SOUTHPARK BLVD, SUITE 408-B, ST AUGUSTINE, FL, 320865189, US | 100 SOUTHPARK BLVD, SUITE 408 B, ST AUGUSTINE, FL, 320865189, US | |||||||||||||||||||||||||
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| Phone | +1 518-407-3422 |
Authorized person
| Name | MR. REGINO IRWIN B REYES |
| Role | AMBR |
| Phone | 5184073422 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT7862 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | PT0007862 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| REYES REGINO IRWIN B | Authorized Member | 100 SOUTHPARK BLVD STE 408 B, SAINT AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-22 | 100 SOUTHPARK BLVD STE 408 B, SAINT AUGUSTINE, FL 32086 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-22 | 100 SOUTHPARK BLVD STE 408 B, SAINT AUGUSTINE, FL 32086 | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2017-11-21 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-22 |
| Florida Limited Liability | 2014-05-12 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
