| Entity Name: | SALUS ORTHOPEDIC & SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Jul 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L14000113619 |
| FEI/EIN Number | 47-1333775 |
| Address: | 15880 Summerlin Road, Suite 300-106, FORT MYERS, FL 33908 |
| Mail Address: | 5485 Bethelview Road, Suite 360-333, Cumming, GA 30040 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992112577 | 2014-07-16 | 2014-07-16 | 15880 SUMMERLIN RD, SUITE-300 PMB 106, FORT MYERS, FL, 339089612, US | 8191 COLLEGE PKWY, SUITE-205, FORT MYERS, FL, 339195190, US | |||||||||||||||||||||||||||
|
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| Phone | +1 239-603-6212 |
| Fax | 8777117411 |
Authorized person
| Name | DR. GEORGE PETRYK |
| Role | CHIROPRACTIC NEUROLOGIST |
| Phone | 2395606764 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH8431 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | OS00007123 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETRYK, GEORGE | Agent | 15880 Summerlin Road, Suite 300-106, FORT MYERS, FL 33908 |
| Name | Role | Address |
|---|---|---|
| PETRYK, GEORGE | Manager | 15880 SUMMERLIN RD, Suite 300-106 FORT MYERS, FL 33908 |
| PADULA, JAMES | Manager | 15880 SUMMERLIN RD, Suite 300-106 FORT MYERS, FL 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-06-03 | 15880 Summerlin Road, Suite 300-106, FORT MYERS, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2016-06-03 | 15880 Summerlin Road, Suite 300-106, FORT MYERS, FL 33908 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-06-03 | 15880 Summerlin Road, Suite 300-106, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2016-06-03 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-23 |
| Florida Limited Liability | 2014-07-17 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
