| Entity Name: | ALLEGIANCE, ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Jan 2019 (6 years ago) |
| Date of dissolution: | 29 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2021 (4 years ago) |
| Document Number: | L19000017210 |
| FEI/EIN Number | N/A |
| Address: | 1901 CONGRESS PARK DRIVE, SUITE 160, DELRAY BEACH, FL 33445 |
| Mail Address: | 1708 Corporate Drive, boynton beach, FL 33426 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346714797 | 2019-01-18 | 2019-07-08 | 190 CONGRESS PARK DR STE 160, DELRAY BEACH, FL, 334454707, US | 190 CONGRESS PARK DR STE 160, DELRAY BEACH, FL, 334454707, US | |||||||||||||
|
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| Phone | +1 561-306-5383 |
Authorized person
| Name | DIANE RICCA |
| Role | MANAGING PARTNER/OWNER |
| Phone | 5613065383 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICCA, DIANE | Agent | 190 CONGRESS PARK DRIVE, SUITE 160, DELRAY BEACH, FL 33445 |
| Name | Role | Address |
|---|---|---|
| Ricca, Susan | Manager | 9033 Glades Rd, Boca Raton, FL 33433 |
| chitwood, diane | Manager | 9033 Glades Rd, Boca Raton, FL 33433 |
| Chitwood, Chad | Manager | 9033 Glades Rd, Boca Raton, FL 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000067720 | BLACKSTONE MEDICAL GROUP LLC | EXPIRED | 2019-06-13 | 2024-12-31 | No data | 190 CONGRESS PARK DRIVE, SUITE 160, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-16 | 1901 CONGRESS PARK DRIVE, SUITE 160, DELRAY BEACH, FL 33445 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 190 CONGRESS PARK DRIVE, SUITE 160, DELRAY BEACH, FL 33445 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-29 |
| ANNUAL REPORT | 2020-01-16 |
| Florida Limited Liability | 2019-01-15 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
