| Entity Name: | PENSACOLA SPINE AND SPORTS MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PENSACOLA SPINE AND SPORTS MEDICINE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 13 Apr 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L16000073279 |
| Address: | 6792 LEEPARD RD, MILTON, FL, 32583, US |
| Mail Address: | 6792 LEEPARD RD, MILTON, FL, 32583, US |
| ZIP code: | 32583 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306200860 | 2016-04-11 | 2016-04-11 | 6792 LEEPARD RD, MILTON, FL, 325833343, US | 6792 LEEPARD RD, MILTON, FL, 325833343, US | |||||||||||||||||||||||
|
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| Phone | +1 970-217-1739 |
Authorized person
| Name | DR. ERIC SHOEMAKER |
| Role | PHYSICIAN |
| Phone | 9702171739 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | OS13075 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14406200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHOEMAKER JENNIFER A | Manager | 6792 LEEPARD RD, MILTON, FL, 32583 |
| SHOEMAKER ERIC M | Agent | 6792 LEEPARD RD, MILTON, FL, 32583 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-04-13 |
Date of last update: 03 May 2025
Sources: Florida Department of State
