| Entity Name: | RESTORE SPINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Oct 2018 (6 years ago) |
| Document Number: | L18000233705 |
| FEI/EIN Number | 83-2125812 |
| Address: | 6790 N. WATERWAY DRIVE, MIAMI, FL 33155 |
| Mail Address: | 3479 Fan Palm Blvd, Melbourne, FL 32901 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952925547 | 2020-05-30 | 2024-10-04 | PO BOX 66657, SEATTLE, WA, 981660657, US | 165 N BABCOCK ST, MELBOURNE, FL, 329356714, US | |||||||||||||||
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| Phone | +1 480-776-4660 |
| Phone | +1 321-462-3330 |
Authorized person
| Name | DR. MICHAEL HAWK CRONIN |
| Role | MANAGING MEMBER |
| Phone | 4807764660 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRONIN, MICHAEL H | Agent | 6790 N. WATERWAY DRIVE, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| CRONIN, MICHAEL H | Authorized Member | 6790 N. WATERWAY DRIVE, MIAMI, FL 33155 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000141165 | RESTORE SPINE AND ORTHOPEDICS | ACTIVE | 2023-11-18 | 2028-12-31 | No data | 165 N BABCOCK ST, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-25 | 6790 N. WATERWAY DRIVE, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-02-19 |
| Florida Limited Liability | 2018-10-02 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
