| Entity Name: | NORTH BAY SPINE AND REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
NORTH BAY SPINE AND REHAB, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 06 Mar 2017 (8 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 22 Sep 2022 (3 years ago) |
| Document Number: | L17000051421 |
| FEI/EIN Number |
820749975
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2431 BRUNELLO TRACE, LUTZ, FL, 33558, US |
| Mail Address: | 2431 BRUNELLO TRACE, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760918940 | 2017-05-07 | 2017-05-07 | 2431 BRUNELLO TRCE, LUTZ, FL, 335587800, US | 2431 BRUNELLO TRCE, LUTZ, FL, 335587800, US | |||||||||||||||||||||||
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| Phone | +1 813-999-3330 |
Authorized person
| Name | BRETT BOWSER |
| Role | MANAGER |
| Phone | 7248590784 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10459 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009161400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOWSER BRETT R | Manager | 2431 BRUNELLO TRACE, LUTZ, FL, 33558 |
| BOWSER BRETT R | Agent | 2431 BRUNELLO TRACE, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC DISSOCIATION MEM | 2022-09-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-09 | 2431 BRUNELLO TRACE, LUTZ, FL 33558 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-01 | 2431 BRUNELLO TRACE, LUTZ, FL 33558 | - |
| CHANGE OF MAILING ADDRESS | 2017-05-01 | 2431 BRUNELLO TRACE, LUTZ, FL 33558 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-03-06 |
| CORLCDSMEM | 2022-09-22 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-15 |
| Florida Limited Liability | 2017-03-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5187357704 | 2020-05-01 | 0455 | PPP | 2431 BRUNELLO TRCE, LUTZ, FL, 33558-7800 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2114908509 | 2021-02-19 | 0455 | PPS | 2431 Brunello Trce, Lutz, FL, 33558-7800 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
