| Entity Name: | INTEGRITY SPINE AND ORTHOPEDICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Aug 2024 (6 months ago) |
| Document Number: | L19000017585 |
| FEI/EIN Number | 83-3271709 |
| Address: | 14785 OLD ST. AUGUSTINE ROAD - STE. 100, JACKSONVILLE, FL, 32258, US |
| Mail Address: | 14785 OLD ST. AUGUSTINE ROAD - STE. 100, JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356108989 | 2024-02-29 | 2024-08-30 | 14785 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL, 322587407, US | 1811 BLANDING BLVD STE 102, MIDDLEBURG, FL, 320684935, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-456-0017 |
| Fax | 9044560018 |
Authorized person
| Name | MATTHEW TERRY |
| Role | PRESIDENT/COO |
| Phone | 9044560017 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| SIDNEY S. SIMMONS, P.L. | Agent |
| Name | Role | Address |
|---|---|---|
| GORDON TERRY JOHN | Manager | 14785 OLD ST. AUGUSTINE ROAD - STE. 100, JACKSONVILLE, FL, 32258 |
| GORDON TERRY MATTHEW | Manager | 14785 OLD ST. AUGUSTINE ROAD - STE. 100, JACKSONVILLE, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-15 | No data | No data |
| LC AMENDMENT | 2023-07-24 | No data | No data |
| LC AMENDMENT | 2021-10-18 | No data | No data |
| LC AMENDMENT | 2021-10-13 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-13 | 14785 OLD ST. AUGUSTINE ROAD - STE. 100, JACKSONVILLE, FL 32258 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-13 | 14785 OLD ST. AUGUSTINE ROAD - STE. 100, JACKSONVILLE, FL 32258 | No data |
| LC AMENDMENT | 2020-08-31 | No data | No data |
| LC AMENDMENT | 2020-08-03 | No data | No data |
| LC NAME CHANGE | 2019-06-04 | INTEGRITY SPINE AND ORTHOPEDICS, LLC | No data |
| LC AMENDMENT | 2019-01-23 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-15 |
| ANNUAL REPORT | 2024-03-04 |
| LC Amendment | 2023-07-24 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-02-25 |
| LC Amendment | 2021-10-18 |
| LC Amendment | 2021-10-13 |
| ANNUAL REPORT | 2021-02-03 |
| LC Amendment | 2020-08-31 |
| LC Amendment | 2020-08-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
