| Entity Name: | SEASIDE SPINE CRESTVIEW LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2019 (6 years ago) |
| Document Number: | L19000052912 |
| FEI/EIN Number | 83-3800567 |
| Mail Address: | 208 Mary Esther Blvd, Mary Esther, FL, 32569, US |
| Address: | 610 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881152353 | 2019-03-04 | 2021-03-30 | 981 HIGHWAY 98 E STE 9, DESTIN, FL, 325412588, US | 610 HOSPITAL DR, CRESTVIEW, FL, 325397356, US | |||||||||||||
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| Phone | +1 850-460-2362 |
Authorized person
| Name | MISS ASHLYN NEWBY |
| Role | OFFICE MANAGER |
| Phone | 8504602362 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARBEE SAMUEL JDC | Agent | 49 Meigs Drive, Shalimar, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| BARBEE SAMUEL JDC | Manager | 49 Meigs Drive, Shalimar, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 49 Meigs Drive, Shalimar, FL 32579 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 610 HOSPITAL DRIVE, CRESTVIEW, FL 32539 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-02-19 |
| Florida Limited Liability | 2019-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
