| Entity Name: | LAKE MARY SPINE AND REHABILITATION CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jul 2014 (11 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 06 Dec 2018 (6 years ago) |
| Document Number: | L14000109229 |
| FEI/EIN Number | 47-1311577 |
| Address: | 115 E. LAKE MARY BLVD, SANFORD, FL, 32773, US |
| Mail Address: | 115 E. LAKE MARY BLVD, SANFORD, FL, 32773, US |
| ZIP code: | 32773 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003473349 | 2019-05-22 | 2019-05-22 | 45677 HIGHWAY 27, DAVENPORT, FL, 338974546, US | 45677 HIGHWAY 27, DAVENPORT, FL, 338974546, US | |||||||||||||||||
|
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| Phone | +1 407-942-3258 |
| Fax | 4079423316 |
| Fax | 4407942331 |
Authorized person
| Name | YANINA GENAO |
| Role | OWNER/DOCTOR |
| Phone | 4079423258 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GENAO YANINA | Agent | 115 E. LAKE MARY BLVD, SANFORD, FL, 32773 |
| Name | Role | Address |
|---|---|---|
| GENAO YANINA | Manager | 115 E Lake Mary Blvd, SANFORD, FL, 32773 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000049941 | DAVENPORT SPINE & REHABILITATION CENTER | EXPIRED | 2019-04-23 | 2024-12-31 | No data | 45677 US HIGHWAY 27 NORTH, DAVENPORT, FL, 33897 |
| G16000053128 | SPINE & REHABILITATION CENTERS | ACTIVE | 2016-05-27 | 2026-12-31 | No data | 115 E. LAKE MARY BLVD, SANFORD, FL, 32773 |
| G16000039645 | LEE VISTA SPINE AND REHABILITATION CENTER | ACTIVE | 2016-04-19 | 2026-12-31 | No data | 8288 LEE VISTA BLVD, SUITE A, ORLANDO, FL, 32829 |
| G16000032586 | LEE VISTA CHIROPRACTIC | ACTIVE | 2016-03-30 | 2026-12-31 | No data | 8288 LEE VISTA BLVD, ORLANDO, FL, 32829 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-13 | GENAO, YANINA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 115 E. LAKE MARY BLVD, SANFORD, FL 32773 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-06 | 115 E. LAKE MARY BLVD, SANFORD, FL 32773 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 115 E. LAKE MARY BLVD, SANFORD, FL 32773 | No data |
| LC DISSOCIATION MEM | 2018-12-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-02-06 |
| CORLCDSMEM | 2018-12-06 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-02-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
