| Entity Name: | SPINE CIN OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Dec 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Oct 2019 (5 years ago) |
| Document Number: | L17000259916 |
| FEI/EIN Number | 82-3776854 |
| Address: | 1301 RIVERPLACE BLVD, SUITE 800 A, JACKSONVILLE, FL 32207 |
| Mail Address: | 1301 RIVERPLACE BLVD, SUITE 800 A, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568960839 | 2018-01-31 | 2020-02-14 | 102 WOODMONT BLVD STE 350, NASHVILLE, TN, 372052216, US | 1301 RIVERPLACE BLVD STE 800A, JACKSONVILLE, FL, 322079047, US | |||||||||||||||||||||||
|
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| Phone | +1 615-386-0064 |
| Fax | 6153860067 |
Authorized person
| Name | EDWARD LELAND HUTTON EADIE |
| Role | DIRECTOR |
| Phone | 6157332064 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| CARE OF FL MSO, LLC | MANAGING MEMBER |
| Name | Role | Address |
|---|---|---|
| Hannon, John | Authorized Representative | 102 Woodmont Blvd,, Suite 350 Nashville, TN 37205 |
| Name | Role | Address |
|---|---|---|
| Hannon, John | Senior Vice President | 102 Woodmont Blvd,, Suite 350 Nashville, TN 37205 |
| Name | Role | Address |
|---|---|---|
| Episode Solutions, LLC | Manager | 102 Woodmont Blvd, Suite 350 Nashville, TN 37205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-11 | 1301 RIVERPLACE BLVD, SUITE 800 A, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-11 | 1301 RIVERPLACE BLVD, SUITE 800 A, JACKSONVILLE, FL 32207 | No data |
| REINSTATEMENT | 2019-10-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-11 | CORPORATION SERVICE COMPANY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC STMNT OF RA/RO CHG | 2019-07-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-07-25 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-02-11 |
| REINSTATEMENT | 2019-10-11 |
| CORLCRACHG | 2019-07-25 |
| ANNUAL REPORT | 2018-06-28 |
| Florida Limited Liability | 2017-12-21 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
