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SIMON GROSECLOSE, DC, LLC

Company Details

Entity Name: SIMON GROSECLOSE, DC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Mar 2016 (9 years ago)
Document Number: L16000043160
FEI/EIN Number 81-1646876
Address: 2020 ASHLEY OAKS CIR, WESLEY CHAPEL, FL, 33544, US
Mail Address: 2020 Ashley Oaks Circle, Wesley Chapel, FL, 33544, US
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275073710 2017-03-02 2020-01-28 2020 ASHLEY OAKS CIR STE 101, WESLEY CHAPEL, FL, 335446410, US 2020 ASHLEY OAKS CIR STE 101, WESLEY CHAPEL, FL, 335446410, US

Contacts

Phone +1 813-388-2935
Phone +1 813-358-1994

Authorized person

Name SIMON GROSECLOSE
Role PRESIDENT
Phone 8139950984

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
GROSECLOSE SIMON Agent 2020 Ashley Oaks Circle, Wesley Chapel, FL, 33544

Authorized Member

Name Role Address
GROSECLOSE SIMON Authorized Member 2020 ASHLEY OAKS CIR, WESLEY CHAPEL, FL, 33544

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000052910 COMPLETE SPINE & WELLNESS SOLUTIONS ACTIVE 2018-04-27 2028-12-31 No data 2020 ASHLEY OAKS CIR STE 101, WESLEY CHAPEL, FL, 33544
G17000010607 COMPLETE CHIROPRACTIC & WELLNESS EXPIRED 2017-01-28 2022-12-31 No data 2210 CYPRESS GROVE LOOP, 304, LAND O LAKES, FL, 34639

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-20 2020 ASHLEY OAKS CIR, STE 101, WESLEY CHAPEL, FL 33544 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-20 2020 Ashley Oaks Circle, Suite 101, Wesley Chapel, FL 33544 No data
CHANGE OF PRINCIPAL ADDRESS 2020-12-23 2020 ASHLEY OAKS CIR, STE 101, WESLEY CHAPEL, FL 33544 No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-03-21
ANNUAL REPORT 2017-03-07
Florida Limited Liability 2016-03-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State