| Entity Name: | CENTRAL FLORIDA SPINE & INJURY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Dec 2016 (8 years ago) |
| Date of dissolution: | 12 Jun 2024 (8 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Jun 2024 (8 months ago) |
| Document Number: | L16000218200 |
| FEI/EIN Number | 81-4628128 |
| Address: | 809 CR 466, C-301, The Villages, FL, 32159, US |
| Mail Address: | 3321 N VALDOSTA RD, Ste B, VALDOSTA, GA, 31602, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861925570 | 2017-04-10 | 2021-06-29 | 1541 SE 17TH ST, OCALA, FL, 344714607, US | 809 CR 466, C-301, THE VILLAGES, FL, 321593215, US | |||||||||||||||||||||||||
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| Phone | +1 352-732-5590 |
| Fax | 3527320292 |
Authorized person
| Name | JEAN GONZALEZ |
| Role | CLINIC ADMINISTRATOR |
| Phone | 3527325590 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP2590662 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOLUTIONS GROUP ACCOUNTING FIRM INC. | Agent |
| Name | Role | Address |
|---|---|---|
| WALKER JONATHAN R | Manager | 1541 SE 17TH ST, OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000060057 | ETHOS HEALTH GROUP | EXPIRED | 2018-05-17 | 2023-12-31 | No data | 1541 SE 17TH ST, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-15 | 809 CR 466, C-301, The Villages, FL 32159 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-15 | Solutions Group Accounting Firm Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-15 | 1275 Lake Heathrow Lane, Lake Mary, FL 32746 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-16 | 809 CR 466, C-301, The Villages, FL 32159 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-12 |
| ANNUAL REPORT | 2024-01-29 |
| AMENDED ANNUAL REPORT | 2023-09-15 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-03-10 |
| AMENDED ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
