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FIRST COAST SPINE & REHAB LLC

Company Details

Entity Name: FIRST COAST SPINE & REHAB LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 31 Jan 2018 (7 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L18000028063
FEI/EIN Number 82-4227834
Address: 1851 Old Moultrie Rd, ST. AUGUSTINE, FL 32084
Mail Address: 8929 SE BRIDGE RD., HOBE SOUND, FL 33455
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740798776 2018-01-11 2018-01-11 8929 SE BRIDGE RD, HOBE SOUND, FL, 334555312, US 100 WHETSTONE PL STE 310, ST AUGUSTINE, FL, 320865775, US

Contacts

Phone +1 772-546-9591
Phone +1 904-516-8600

Authorized person

Name JENEANE WAKULA
Role OFFICE MANAGER
Phone 7725469591

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
DTFP LLC Agent

Manager

Name Role
DTFP LLC Manager
LJG MEDIA LLC Manager

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-30 1851 Old Moultrie Rd, ST. AUGUSTINE, FL 32084 No data

Documents

Name Date
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-01-31

Date of last update: 17 Feb 2025

Sources: Florida Department of State