| Entity Name: | DR EDWIN BROOKS ROBERTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DR EDWIN BROOKS ROBERTS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Mar 2019 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L19000085369 |
| FEI/EIN Number |
83-4260459
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3960 NAVY BLVD, Suite 17, PENSACOLA, FL, 32507, US |
| Mail Address: | 3960 NAVY BLVD, Suite 17, PENSACOLA, FL, 32507, US |
| ZIP code: | 32507 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700490737 | 2020-09-08 | 2020-09-08 | 3960 W NAVY BLVD STE 17, PENSACOLA, FL, 325071268, US | 3960 W NAVY BLVD STE 17, PENSACOLA, FL, 325071268, US | |||||||||||||||||||||
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| Phone | +1 850-912-8355 |
| Fax | 8507418040 |
Authorized person
| Name | DR. EDWIN BROOKS ROBERTS II |
| Role | OWNER/CHIROPRACTOR |
| Phone | 8509128355 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000569800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBERTS EDWIN BII | Manager | 3960 NAVY BLVD, PENSACOLA, FL, 32507 |
| KRUSE CARA A | Authorized Member | 106 MANDALAY DRIVE, PENSACOLA, FL, 32507 |
| ROBERTS EDWIN BII | Agent | 106 MANDALAY DRIVE, PENSACOLA, FL, 32507 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000105513 | ALIGNED SPINE | EXPIRED | 2019-09-26 | 2024-12-31 | - | 3960 NAVY BLVD, SUITE 17, PENSACOLA, FL, 32507 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-29 | 3960 NAVY BLVD, Suite 17, PENSACOLA, FL 32507 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 3960 NAVY BLVD, Suite 17, PENSACOLA, FL 32507 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-29 | 106 MANDALAY DRIVE, PENSACOLA, FL 32507 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-09-16 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-03-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6800828006 | 2020-06-30 | 0491 | PPP | 3960 NAVY BLVD SUITE 17, PENSACOLA, FL, 32507 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State
