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REGENERATIVE SPINE AND BODY CLINIC, LLC.

REGENERATIVE SPINE AND BODY CLINIC, LLC.

Company Details

Entity Name:	REGENERATIVE SPINE AND BODY CLINIC, LLC.
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Inactive
Date Filed:	30 Sep 2014 (10 years ago)
Date of dissolution:	22 Sep 2023 (a year ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	22 Sep 2023 (a year ago)
Document Number:	L14000152375
FEI/EIN Number	47-1978484
Address:	155 JACKSON AVE, SATELLITE BEACH, FL, 32937
Mail Address:	155 JACKSON AVE, SATELLITE BEACH, FL, 32937
ZIP code:	32937
County:	Brevard
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1144624321

2014-10-16

2014-11-18

155 JACKSON AVE, SUITE C, SATELLITE BEACH, FL, 329372993, US

155 JACKSON AVE, SUITE C, SATELLITE BEACH, FL, 329372993, US

Contacts

Phone	+1 321-777-3677
Fax	3217798344

Authorized person

Name	DR. MICHAEL VILLE
Role	OWNER
Phone	3217773677

Taxonomy

Taxonomy Code	111NX0800X - Orthopedic Chiropractor
Is Primary	Yes
Taxonomy Code	207X00000X - Orthopaedic Surgery Physician
Is Primary	No

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

REGENERATIVE SPINE AND BODY CLINIC, LLC 401(K) PLAN

2022

471978484

2023-10-10

REGENERATIVE SPINE AND BODY CLINIC, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-15
Business code	621310
Sponsor’s telephone number	3217773677
Plan sponsor’s address	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

REGENERATIVE SPINE AND BODY CLINIC, LLC 401(K) PLAN

2021

471978484

2023-02-13

REGENERATIVE SPINE AND BODY CLINIC, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-15
Business code	621310
Sponsor’s telephone number	3217773677
Plan sponsor’s address	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

REGENERATIVE SPINE AND BODY CLINIC, LLC 401(K) PLAN

2020

471978484

2021-10-13

REGENERATIVE SPINE AND BODY CLINIC, LLC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-15
Business code	621310
Sponsor’s telephone number	3217773677
Plan sponsor’s address	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

REGENERATIVE SPINE AND BODY CLINIC, LLC 401(K) PLAN

2019

471978484

2020-10-13

REGENERATIVE SPINE AND BODY CLINIC, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-15
Business code	621310
Sponsor’s telephone number	3217773677
Plan sponsor’s address	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

REGENERATIVE SPINE AND BODY CLINIC, LLC 401(K) PLAN

2018

471978484

2019-10-10

REGENERATIVE SPINE AND BODY CLINIC, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-15
Business code	621310
Sponsor’s telephone number	3217773677
Plan sponsor’s address	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

REGENERATIVE SPINE AND BODY CLINIC, LLC 401(K) PLAN

2017

471978484

2018-09-24

REGENERATIVE SPINE AND BODY CLINIC, LLC

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-15
Business code	621310
Sponsor’s telephone number	3217773677
Plan sponsor’s address	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

Agent

Name	Role	Address
VILLE MICHAEL D	Agent	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

Authorized Member

Name	Role	Address
VILLE MICHAEL D	Authorized Member	155 JACKSON AVE, SATELLITE BEACH, FL, 32937

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2023-09-22	No data	No data

Documents

Name	Date
ANNUAL REPORT	2022-07-14
ANNUAL REPORT	2021-04-28
ANNUAL REPORT	2020-03-16
ANNUAL REPORT	2019-04-04
ANNUAL REPORT	2018-04-25
ANNUAL REPORT	2017-07-01
ANNUAL REPORT	2016-02-03
ANNUAL REPORT	2015-04-22
Florida Limited Liability	2014-09-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State