| Entity Name: | INJURY AND SPINE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Aug 2016 (8 years ago) |
| Document Number: | L16000148311 |
| FEI/EIN Number | 81-3489371 |
| Address: | 7824 LAKE UNDERHILL ROAD, SUITE I, ORLANDO, FL 32822 |
| Mail Address: | PO BOX 422210, KISSIMMEE, FL 34742 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891249579 | 2016-08-10 | 2020-05-15 | PO BOX 422210, KISSIMMEE, FL, 347422210, US | 7824 LAKE UNDERHILL RD STE I, ORLANDO, FL, 328228201, US | |||||||||||||||
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| Phone | +1 407-601-1210 |
| Fax | 4076012504 |
Authorized person
| Name | DR. KEITH MASSI |
| Role | PRESIDENT |
| Phone | 4075382233 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MASSI, KEITH | Agent | 7824 LAKE UNDERHILL ROAD, SUITE I, ORLANDO, FL 32822 |
| Name | Role | Address |
|---|---|---|
| MASSI, KEITH | President | 7824 LAKE UNDERHILL ROAD, SUITE I ORLANDO, FL 32822 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000017045 | INJURY AND SPINE MEDICAL GROUP | ACTIVE | 2020-02-06 | 2025-12-31 | No data | PO BOX 422210, KISSIMMEE, FL, 34742 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 7824 LAKE UNDERHILL ROAD, SUITE I, ORLANDO, FL 32822 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-16 | 7824 LAKE UNDERHILL ROAD, SUITE I, ORLANDO, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-09 | 7824 LAKE UNDERHILL ROAD, SUITE I, ORLANDO, FL 32822 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-25 |
| Florida Limited Liability | 2016-08-09 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
