| Entity Name: | ACTIVE SPINE CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2017 (7 years ago) |
| Document Number: | L17000201129 |
| FEI/EIN Number | 82-4036998 |
| Address: | 9310 Old Kings Rd S, Jacksonville, FL, 32257, US |
| Mail Address: | 9310 Old Kings Rd S, Jacksonville, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538677133 | 2018-01-17 | 2019-06-11 | 9310 OLD KINGS RD S STE 1102, JACKSONVILLE, FL, 322576196, US | 9310 OLD KINGS RD S STE 1102, JACKSONVILLE, FL, 322576196, US | |||||||||||||||||
|
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| Phone | +1 904-802-4410 |
Authorized person
| Name | DR. TRANG N NGHIEM |
| Role | MGR |
| Phone | 9048024410 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH12210 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NGHIEM TRANG NDC | Agent | 9310 Old Kings Rd S, Jacksonville, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| NGHIEM TRANG NDC | Manager | 9310 Old Kings Rd S, Jacksonville, FL, 32257 |
| Duong Nghia H | Manager | 9310 Old Kings Rd S, Jacksonville, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-17 | 9310 Old Kings Rd S, Suite 1102, Jacksonville, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-17 | 9310 Old Kings Rd S, Suite 1102, Jacksonville, FL 32257 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-17 | NGHIEM, TRANG N, DC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-17 | 9310 Old Kings Rd S, Suite 1102, Jacksonville, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-01-06 |
| ANNUAL REPORT | 2018-01-17 |
| Florida Limited Liability | 2017-09-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
