| Entity Name: | REGENERATIVE SPORT, SPINE AND SPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Dec 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Jun 2017 (8 years ago) |
| Document Number: | L16000231071 |
| FEI/EIN Number | 81-4786828 |
| Address: | 10920 MOSS PARK RD., SUITE 218, ORLANDO, FL, 32832, US |
| Mail Address: | 10920 MOSS PARK RD., SUITE 218, ORLANDO, FL, 32832, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598252090 | 2018-04-19 | 2018-04-19 | 10920 MOSS PARK RD STE 218, ORLANDO, FL, 328326087, US | 10920 MOSS PARK RD STE 218, ORLANDO, FL, 328326087, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-730-5600 |
Authorized person
| Name | PALLAVI R. CHERUKUPALLY |
| Role | OWNER |
| Phone | 4077305600 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME127634 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOSKINS QUIROS OSBORNE LABEAUME | Agent | 926 Lake Baldwin Lane, Orlando, FL, 32814 |
| Name | Role | Address |
|---|---|---|
| CHERUKUPALLY PALLAVI | Manager | 10920 MOSS PARK RD., ORLANDO, FL, 32832 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000043186 | REGENERATIVE PHYSICAL THERAPY AND WELLNESS | EXPIRED | 2019-04-04 | 2024-12-31 | No data | 10920 MOSS PARK RD., STE. 218, ORLANDO, FL, 32832 |
| G17000121452 | ACTIVCORE ORLANDO | EXPIRED | 2017-11-03 | 2022-12-31 | No data | 10920 MOSS PLACE ROAD, SUITE 212, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-28 | HOSKINS QUIROS OSBORNE LABEAUME | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 926 Lake Baldwin Lane, Orlando, FL 32814 | No data |
| LC AMENDMENT | 2017-06-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-29 | 10920 MOSS PARK RD., SUITE 218, ORLANDO, FL 32832 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-29 | 10920 MOSS PARK RD., SUITE 218, ORLANDO, FL 32832 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-01-23 |
| LC Amendment | 2017-06-29 |
| ANNUAL REPORT | 2017-04-24 |
| Florida Limited Liability | 2016-12-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
