| Entity Name: | LAKE CITY SPINE & INJURY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Sep 2014 (10 years ago) |
| Document Number: | L14000142309 |
| FEI/EIN Number | 47-1806693 |
| Mail Address: | 1541 SE 17th St, Ocala, FL 34471 |
| Address: | 2057 SW Main Blvd, LAKE CITY, FL 32025 |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487018222 | 2016-04-07 | 2016-04-07 | 2057 SW MAIN BLVD, LAKE CITY, FL, 320250021, US | 2057 SW MAIN BLVD, LAKE CITY, FL, 320250021, US | |||||||||||||||||
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| Phone | +1 386-438-5524 |
Authorized person
| Name | JONATHAN WALKER |
| Role | OWNER |
| Phone | 3864385524 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9403 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Walker, Jonathan R | Agent | 1541 SE 17th Street, Ocala, FL 34471 |
| Name | Role | Address |
|---|---|---|
| WALKER, JONATHAN | President | 1541 SE 17th St, Ocala, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-11 | 2057 SW Main Blvd, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-17 | 2057 SW Main Blvd, LAKE CITY, FL 32025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-17 | 1541 SE 17th Street, Ocala, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-12 | Walker, Jonathan R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-03-01 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
