| Entity Name: | SPINAL INTEGRATED MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Oct 2014 (10 years ago) |
| Document Number: | L14000158393 |
| FEI/EIN Number | 38-3942044 |
| Address: | 324 CROSS STREET, PUNTA GORDA, FL 33950 |
| Mail Address: | 324 CROSS STREET, PUNTA GORDA, FL 33950 |
| ZIP code: | 33950 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689079709 | 2014-10-31 | 2014-10-31 | 324 CROSS ST, PUNTA GORDA, FL, 339504828, US | 324 CROSS ST, PUNTA GORDA, FL, 339504828, US | |||||||||||||||||||
|
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| Phone | +1 941-205-2180 |
| Fax | 9412052181 |
Authorized person
| Name | KEVIN M. VAN NOSTRAND |
| Role | PRESIDENT |
| Phone | 9412052180 |
Taxonomy
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VAN NOSTRAND, KEVIN M | Agent | 324 CROSS STREET, SUITE 200, PUNTA GORDA, FL 33950 |
| Name | Role |
|---|---|
| SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. | Authorized Member |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-06-07 |
| ANNUAL REPORT | 2015-06-08 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
